Individual provider Active NPI

Misty Lynn Littleton, AU.D.

  • Audiologist
  • Shreveport, LA
National Provider Identifier
1881850220
Registry record updated Aug 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
4578 Issued in LA
Practice address
2121 Line Ave
Shreveport, LA 71104-2126
Phone
(318) 226-9441
Fax
(318) 425-3236
NPI assigned
Aug 5, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 4578 LA Primary

Addresses

Primary practice location

2121 Line Ave
Shreveport, LA 71104-2126

Mailing address

2121 Line Ave
Shreveport, LA 71104-2126
Phone (318) 226-9441

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090109000061 LA Practitioner - Qualified Audiologist 2466515937 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ear Nose and Throat Center a Medical CorporationGroup PAC ID 4486629540, 9 clinicians

Practice addresses (Care Compare)

2121 Line Ave
Shreveport, LA 71104-2126
Phone 3182269441232

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4578LAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ear Nose & Throat Center a Medical Corporation CurrentSince Sep 1, 2008 Accepting new patients

Locations

2121 Line Ave
Shreveport, LA 71104
Phone (318) 226-9441

8575 Fern Ave
Ste 103
Shreveport, LA 71105
Phone (318) 798-0759

Organizations & group practices 1

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": "1217894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217894400000",
    "number": "1881850220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 LINE AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711042126",
            "telephone_number": "318-226-9441",
            "fax_number": "318-425-3236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 LINE AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711042126",
            "telephone_number": "318-226-9441",
            "fax_number": "318-425-3236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTLETON",
        "first_name": "MISTY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-05",
        "last_updated": "2008-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "LA",
            "license": "4578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; 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.