Individual provider Active NPI

Kristen D. Sullivan, AUD., CCC-A

  • Audiologist
  • Nashua, NH
National Provider Identifier
1679505887
Registry record updated Mar 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A4 Issued in NH
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

Updated by the provider on Mar 27, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
5103223MedicaidMA

Other names 1

  • Kristen Jean Doncaster Former name

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

LicenseStateTypeSpecialty
639MAMDAudiologist
A4NHMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Hearing Care Services, LLC Audiologist Current Accepting new patients
Audiology Distribution, LLC PastSince Aug 1, 2012 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.

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.

Verify at the official NPI Registry.