Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Skylar Dane Pentasuglia, AUD

Individual provider Behavior Technician · NPI 1710567730

Dr. Skylar Dane Pentasuglia, AUD is a Qualified Audiologist in Kingsport, Tennessee. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Tennessee.

Years since qualifying
1
Licensed in
TN
In the registry since
2021
Specialties on file
2
What do these letters mean?
AUD — Doctor of Audiology
A hearing specialist who tests hearing and fits hearing aids.

See every abbreviation used in this directory →

Practice location Address checks out

301 Louis St Ste 101
Kingsport, TN 37660-5195
Phone: (423) 246-4600
Fax: (423) 246-3311
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X · Licence 2310 (TN)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1710567730
Entity typeIndividual (Type 1)
GenderFemale
Credentials AUD
Sole proprietorYes
NPI enumeratedApril 13, 2021
Last updated in NPPESNovember 10, 2025
Certification dateNovember 10, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED AUDIOLOGIST
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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