Active NPI
Elizabeth Wyllie, AUD
- Audiologist
- Stockton, CA
National Provider Identifier
1891626529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- Practice address
- 10200 Trinity Pkwy Ste 201
Stockton, CA 95219-7288 - Phone
- (209) 952-0483
- NPI assigned
- May 29, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | CA | Primary |
Addresses
Primary practice location
10200 Trinity Pkwy Ste 201
Stockton, CA 95219-7288
Mailing address
1111 Exposition Blvd BLDG 700
Sacramento, CA 95815-4314
Phone (916) 736-3999
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780012800000",
"number": "1891626529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 EXPOSITION BLVD BLDG 700",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958154314",
"telephone_number": "916-736-3999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10200 TRINITY PKWY STE 201",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952197288",
"telephone_number": "209-952-0483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYLLIE",
"first_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-05-29",
"last_updated": "2026-05-29",
"certification_date": "2026-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.