Lauren Sullivan

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AT006988 Issued in PA

Practice address

164 Greenview Dr
State College, PA 16803-2106

Phone

(814) 466-6396

Fax

(814) 466-6056

NPI assigned

Jun 22, 2021

Last updated

Jun 10, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, PA2 enrollments

Enrollment records 2

Specialty

Qualified Audiologist

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mount Nittany Medical Center Health Services IncGroup PAC ID 8426136797, 366 clinicians

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.

• Mount Nittany Medical Center Health Services Inc

  dba Mount Nittany Physician Group

  • Internal Medicine Physician
  • State College, PA
  • NPI 1598992554
  Medicare reassignment Care Compare group NPD
• Ear Nose and Throat and Facial Plastic Surgery Center of Frederick

  • Otolaryngology Physician
  • Fredericksburg, VA
  • NPI 1164517314
  Medicare reassignment NPD
• Revolution Hearing

  • Audiologist
  • Richmond, VA
  • NPI 1154948420
  Medicare reassignment NPD
• Mount Nittany Medical Center Health Services Inc

  • Pain Clinic/Center
  • State College, PA
  • NPI 1407035553
  NPD (past)

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1619546801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 E PARK AVE",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168036701",
            "telephone_number": "814-231-7100",
            "fax_number": "814-238-0790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 GREENVIEW DR",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168032106",
            "telephone_number": "814-466-6396",
            "fax_number": "814-466-6056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9200 Church St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Manassas",
            "state": "VA",
            "postal_code": "201105561",
            "country_code": "US",
            "telephone_number": "571-646-5533",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "810 Plaza Blvd",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176012762",
            "country_code": "US",
            "telephone_number": "717-351-7648",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "561 W Trout Run Rd",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175229604",
            "country_code": "US",
            "telephone_number": "717-220-3494",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3901 S Atherton St Ste 6",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168018324",
            "country_code": "US",
            "telephone_number": "814-466-6396",
            "fax_number": "814-466-6056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-22",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT006988",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VA",
            "license": "2201001835",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Strickland, ARNP
• Gary Stroschein
• Stephanie Ina Mary Struble, PA-C
• Richard Allen Stuart, DED
• Heather Darby Stube, LCSW
• Leslie H Sullivan, MS, NCC
• Scott A. Sulman, D.O.
• Summit Chiropractic and Wellness LLC
• Summit Chiropractic Clinic
• Sabrina Marie Sumner, DO

• Audiologist in State College, PA
• Providers in State College, PA by specialty
• Audiologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; 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.