Jerilyn Nicole Dutton, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

574 Issued in CO

Practice address

7759 Herschel Ave
Ste B
La Jolla, CA 92037-4478

Phone

(619) 534-4865

NPI assigned

Sep 1, 2009

Last updated

Oct 21, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Qualified Audiologist

Education

University of California, San Diego School of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Salient Sound Audiology, Inc.

  • Hearing and Speech Clinic/Center
  • La Jolla, CA
  • NPI 1376184267
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1588897003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7759 HERSCHEL AVE",
            "address_2": "STE B",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374478",
            "telephone_number": "619-519-3568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7759 HERSCHEL AVE",
            "address_2": "STE B",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374478",
            "telephone_number": "619-534-4865"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4019 Narragansett Ave",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921072618",
            "country_code": "US",
            "telephone_number": "619-519-3568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUTTON",
        "first_name": "JERILYN",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-01",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU 2690",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CO",
            "license": "574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12147264",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Duong, AGPCNP-BC
• Samantha Tu Duong, PHARM D
• Ruben L Duran
• Crystal Durden, MFT
• Kiersten Dutra, RN
• Donna Susann Duvall, NP
• Jennifer Ann Dvorak, FNP-BC
• Dan E. Dworsky, M.D.
• Abigail Dwyer, SLP
• Claudia Brittney Dziegielewski, MD

• Audiologist in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Audiologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.