Individual provider Active NPI

Caitlin Marie Bryan, AUD

  • Audiologist
  • Fort Collins, CO
National Provider Identifier
1013577402
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
0001122 Issued in CO
Practice address
2001 S Shields St Ste 101
Fort Collins, CO 80526-1827
Phone
(970) 493-5334
Fax
(970) 493-3727
NPI assigned
Jun 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 5166 OK
Audiologist 231H00000X 0001122 CO Primary

Addresses

Primary practice location

2001 S Shields St Ste 101
Fort Collins, CO 80526-1827

Mailing address

6500 29TH St Ste 106
Greeley, CO 80634-8386
Phone (970) 330-5555

Other practice location 1

6500 29th St Ste 106
Greeley, CO 80634-8386
Phone (709) 584-1055

Other names 1

  • Caitlin Marie Aust Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190814004043 OK Practitioner - Qualified Audiologist 4284961137 Reassigns benefits to 1 organization
I20220502001409 CO Practitioner - Qualified Audiologist 4284961137 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

2001 S Shields St
Fort Collins, CO 80526-1827
Phone (970) 493-5334

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0001122COMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC CurrentSince Nov 27, 2023 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Nov 27, 2023 Accepting new patients
Alpine Ear, Nose and Throat, PC CurrentSince Apr 1, 2022 Accepting new patients
Mercy Clinic Oklahoma Communities CurrentSince Aug 9, 2019 Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633

2001 S Shields St
Ste E101
Fort Collins, CO 80526
Phone (970) 493-5334

4601 S Mason St
Fort Collins, CO 80525
Phone (970) 266-3600

2001 S Shields St
Ste 101
Fort Collins, CO 80526
Phone (970) 297-6600

1120 E Elizabeth St
Ste F101
Fort Collins, CO 80524
Phone (970) 221-1177

6500 29th St
Ste 106
Greeley, CO 80634
Phone (970) 330-5555

3820 Grant Ave
Loveland, CO 80538
Phone (970) 593-1177

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

2017 W I 35 Frontage Rd
Edmond, OK 73013
Phone (405) 509-2800

2017 W I 35 Frontage Rd
Ste 140
Edmond, OK 73013
Phone (405) 757-3630

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962

Interoperability endpoints

  • Direct secure messaging: caust1032135@directc.mercy.net

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1013577402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 29TH ST STE 106",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806348386",
            "telephone_number": "970-330-5555",
            "fax_number": "970-584-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S SHIELDS ST STE 101",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805261827",
            "telephone_number": "970-493-5334",
            "fax_number": "970-493-3727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6500 29th St Ste 106",
            "address_purpose": "LOCATION",
            "city": "Greeley",
            "state": "CO",
            "postal_code": "806348386",
            "country_code": "US",
            "telephone_number": "709-584-1055",
            "fax_number": "970-584-1054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "CAITLIN",
        "middle_name": "MARIE",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-18",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OK",
            "license": "5166",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CO",
            "license": "0001122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLIN",
            "last_name": "AUST",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.