Individual provider Active NPI

Kayla Cullen, AU.D., CCC-A

  • Audiologist
  • Hamden, CT
National Provider Identifier
1891424248
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
715 Issued in CT
Practice address
9 Washington Ave Ste 300
Hamden, CT 06518-3267
Phone
(203) 248-8409
NPI assigned
Jun 9, 2022
Last updated
Jun 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 715 CT Primary

Addresses

Primary practice location

9 Washington Ave Ste 300
Hamden, CT 06518-3267

Mailing address

89 E Side Dr
Wallingford, CT 06492-3915

Other practice location 1

141 Durham Rd # 3-21
Madison, CT 06443-2676
Phone (203) 245-5899

Other practice location 2

849 Boston Post Rd Ste 202
Milford, CT 06460-3537
Phone (203) 876-1159

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241023001545 CT Practitioner - Qualified Audiologist 3870026339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ear Nose and Throat Specialists of CT PCGroup PAC ID 8527121755, 7 clinicians

Practice addresses (Care Compare)

141 Durham Rd
Madison, CT 06443-2676
Phone (203) 245-5899

849 Boston Post Rd
Suite 202
Milford, CT 06460-3537
Phone (203) 876-1159

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ear Nose and Throat Specialists of CT PC CurrentSince Aug 9, 2024 Accepting new patients
The Connecticut Center for Facial Plastic PastSince Jun 1, 2022 Accepting new patients

Locations

2200 Whitney Ave
Ste 260
Hamden, CT 06518
Phone (203) 248-8409

9 Washington Ave
Hamden, CT 06518
Phone (203) 230-2546

9 Washington Ave
Fl 3
Hamden, CT 06518
Phone (203) 248-8409

9 Washington Ave
Ste 300
Hamden, CT 06518
Phone (203) 248-8409

849 Boston Post Rd
Ste 202
Milford, CT 06460
Phone (203) 281-5109

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1891424248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 E SIDE DR",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064923915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 WASHINGTON AVE STE 300",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183267",
            "telephone_number": "203-248-8409"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "141 Durham Rd # 3-21",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "CT",
            "postal_code": "064432676",
            "country_code": "US",
            "telephone_number": "203-245-5899",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "849 Boston Post Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "CT",
            "postal_code": "064603537",
            "country_code": "US",
            "telephone_number": "203-876-1159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CULLEN",
        "first_name": "KAYLA",
        "credential": "AU.D., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-09",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CT",
            "license": "715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; 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.