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

Lauren Sullivan

Individual provider Audiologist · NPI 1619546801

Lauren Sullivan is a Qualified Audiologist in State College, Pennsylvania. Qualified in 2021, 5 years ago. Practices with Mount Nittany Medical Center Health Services Inc, a 367-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Pennsylvania and Virginia.

Years since qualifying
5
Licensed in
PA, VA
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

164 Greenview Dr
State College, PA 16803-2106
Phone: (814) 466-6396
Fax: (814) 466-6056
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 561 W Trout Run Rd, Ephrata, PA 17522-9604 — (717) 220-3494
  • 810 Plaza Blvd, Lancaster, PA 17601-2762 — (717) 351-7648
  • 3901 S Atherton St Ste 6, State College, PA 16801-8324 — (814) 466-6396
  • 9200 Church St Ste 201, Manassas, VA 20110-5561 — (571) 646-5533

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X · Licence AT006988 (PA)
Audiologist Taxonomy 231H00000X · Licence 2201001835 (VA)

Record details

NPI number1619546801
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 22, 2021
Last updated in NPPESJune 10, 2026
Certification dateJune 10, 2026
Mailing address1800 E Park Ave, State College, PA 16803-6701

Medicare enrollment

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

Medicare specialtyQUALIFIED AUDIOLOGIST
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Mount Nittany Medical Center Health Services Inc — 367 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in State College