Skylar Dane Pentasuglia, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

2310 Issued in TN

Practice address

301 Louis St Ste 101
Kingsport, TN 37660-5195

Phone

(423) 246-4600

Fax

(423) 246-3311

NPI assigned

Apr 13, 2021

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

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

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 and National Provider Directory roles.

• Mountain Region Speech and Hearing Center

  • Speech-Language Pathologist
  • Kingsport, TN
  • NPI 1861427783
  Medicare reassignment NPD

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1710567730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LOUIS ST STE 101",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376605195",
            "telephone_number": "423-246-4600",
            "fax_number": "423-246-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 LOUIS ST STE 101",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376605195",
            "telephone_number": "423-246-4600",
            "fax_number": "423-246-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENTASUGLIA",
        "first_name": "SKYLAR",
        "middle_name": "DANE",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-13",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TN",
            "license": "2310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pedirite Medical TN PLLC
• Deborah Fry Pencarinha, M.S.
• Courtney Paige Pendergraft, FNP
• Anna Pendleton, FNP
• Christopher A Pendola, M.D.
• Katie E Perdue
• Kiley Morgan Perethian, D.O.
• Benjamin James Perrault, DMD
• Jennifer Carlita Peters-Diamond, MD
• Mary Louise Peters

• Audiologist in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Audiologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.