Individual provider Active NPI

Allisun Kay Dulli, M.S. CCC-A

  • Audiologist
  • Marion, AR
National Provider Identifier
1902182256
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
234 Issued in AR
Practice address
608 N Delta Dr
Marion, AR 72364-2675
Phone
(870) 733-4467
Fax
(870) 732-8588
NPI assigned
Nov 1, 2011
Last updated
Apr 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 201371 AR
Audiologist 231H00000X 234 AR Primary

Addresses

Primary practice location

608 N Delta Dr
Marion, AR 72364-2675

Mailing address

608 N Delta Dr
Marion, AR 72364-2675
Phone (870) 733-4467

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

State licenses

LicenseStateTypeSpecialty
234ARMDAthletic Trainer
201371ARMDSpeech-Language Assistant

NPI Registry JSON

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

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1902182256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 N DELTA DR",
            "city": "MARION",
            "state": "AR",
            "postal_code": "723642675",
            "telephone_number": "870-733-4467",
            "fax_number": "870-732-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 N DELTA DR",
            "city": "MARION",
            "state": "AR",
            "postal_code": "723642675",
            "telephone_number": "870-733-4467",
            "fax_number": "870-732-8588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DULLI",
        "first_name": "ALLISUN",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "M.S.  CCC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-01",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AR",
            "license": "201371",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AR",
            "license": "234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.