Individual provider Active NPI

Allie Kendrick Austin, AU.D.

  • Audiologist-Hearing Aid Fitter
  • Bella Vista, AR
National Provider Identifier
1790578037
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
203114 Issued in AR
Practice address
22 Sugar Creek Ctr
Bella Vista, AR 72714-3507
Phone
(479) 876-0110
NPI assigned
May 28, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 203114 AR Primary

Addresses

Primary practice location

22 Sugar Creek Ctr
Bella Vista, AR 72714-3507

Mailing address

22 Sugar Creek Ctr
Bella Vista, AR 72714-3507
Phone (479) 876-0110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251010004037 AR Practitioner - Qualified Audiologist 1951808245 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Bernards Physician Clinics IncGroup PAC ID 7012311269, 211 clinicians

Practice addresses (Care Compare)

621 E Matthews Ave
Jonesboro, AR 72401-3145
Phone (870) 932-6799

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
203114ARMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
St Bernards Physician Clinics Inc CurrentSince Sep 1, 2025 Accepting new patients
St Bernards Physician Clinics Inc CurrentSince Sep 1, 2025 Accepting new patients
Bella Vista Hearing Center PLLC CurrentSince Jun 3, 2025 Accepting new patients
St Bernards Physician Clinics Inc Current Accepting new patients

Locations

22 Sugar Creek Ctr
Bella Vista, AR 72714
Phone (479) 254-0011

1005 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 935-1242

621 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 932-6799

Interoperability endpoints

  • Direct secure messaging: akaustin@sbpc.medalliesdirect.net

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": "1748390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1790578037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 SUGAR CREEK CTR",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727143507",
            "telephone_number": "479-876-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 SUGAR CREEK CTR",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727143507",
            "telephone_number": "479-876-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "ALLIE",
        "middle_name": "KENDRICK",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "AR",
            "license": "203114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bella Vista, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; 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.