Active NPI
Kristen D. Sullivan, AUD., CCC-A
- Audiologist
- Nashua, NH
National Provider Identifier
1679505887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- A4
- Practice address
- 3 Allds St
Nashua, NH 03060-4711 - Phone
- (603) 880-0090
- NPI assigned
- Jul 7, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 639 | MA | |
| Audiologist | 231H00000X | A4 | NH | Primary |
Addresses
Primary practice location
3 Allds St
Nashua, NH 03060-4711
Mailing address
3 Allds St
Nashua, NH 03060-4711
Phone (603) 880-0090
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5103223 | Medicaid | MA |
Other names 1
- Kristen Jean Doncaster
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 639 | MA | MD | Audiologist |
| A4 | NH | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Preferred Hearing Care Services, LLC | Audiologist | Current | Accepting new patients |
| Audiology Distribution, LLC | Past | Accepting new patients | |
| Digital Hearing Healthcare, Inc. | Audiologist | Past | Accepting new patients |
| Hearusa Inc | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Audiologist
- Merrimac, MA
- NPI 1689503682
-
- Audiologist-Hearing Aid Fitter
- Dublin, OH
- NPI 1164707998
-
- Audiologist-Hearing Aid Fitter
- Newburyport, MA
- NPI 1104025345
-
- Audiologist-Hearing Aid Fitter
- West Palm Beach, FL
- NPI 1073560231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522108800000",
"number": "1679505887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 ALLDS ST",
"city": "NASHUA",
"state": "NH",
"postal_code": "030604711",
"telephone_number": "603-880-0090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 ALLDS ST",
"city": "NASHUA",
"state": "NH",
"postal_code": "030604711",
"telephone_number": "603-880-0090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULLIVAN",
"first_name": "KRISTEN",
"middle_name": "D.",
"credential": "AUD., CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-07",
"last_updated": "2018-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MA",
"license": "639",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NH",
"license": "A4",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5103223",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTEN",
"last_name": "DONCASTER",
"middle_name": "JEAN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Nashua, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.