Active NPI
Kaitlin M Sullivan, AUD
- Audiologist
- Wichita, KS
National Provider Identifier
1578116091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 2373
- Practice address
- 8111 W Forest Park St
Wichita, KS 67205-1973 - Phone
- (316) 209-4227
- NPI assigned
- Jul 23, 2019
- Last updated
- Aug 24, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 2373 | KS | Primary |
Addresses
Primary practice location
8111 W Forest Park St
Wichita, KS 67205-1973
Mailing address
8111 W Forest Park St
Wichita, KS 67205-1973
Phone (316) 268-5178
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| GN Consumer Hearing Corporation | Audiologist | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724457600000",
"number": "1578116091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8111 W FOREST PARK ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672051973",
"telephone_number": "316-268-5178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8111 W FOREST PARK ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672051973",
"telephone_number": "316-209-4227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULLIVAN",
"first_name": "KAITLIN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-23",
"last_updated": "2024-08-24",
"certification_date": "2024-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "KS",
"license": "2373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.