Active NPI
Kelly Suzanne Doolittle, MA
- Audiologist
- Platteville, CO
National Provider Identifier
1023132081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 1234
- Practice address
- 19729 Weld County Road 25.5
Platteville, CO 80651-8908 - Phone
- (970) 737-2425
- NPI assigned
- Mar 16, 2007
- Last updated
- Jul 9, 2007
- 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 | 1234 | CO | Primary |
Addresses
Primary practice location
19729 Weld County Road 25.5
Platteville, CO 80651-8908
Mailing address
19729 Weld County Road 25 1/2
Platteville, CO 80651-8908
Phone (970) 737-2425
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16550234 | Medicaid | CO |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1234 | CO | MD | Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1023132081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19729 WELD COUNTY ROAD 25 1/2",
"city": "PLATTEVILLE",
"state": "CO",
"postal_code": "806518908",
"telephone_number": "970-737-2425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19729 WELD COUNTY ROAD 25.5",
"city": "PLATTEVILLE",
"state": "CO",
"postal_code": "806518908",
"telephone_number": "970-737-2425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOOLITTLE",
"first_name": "KELLY",
"middle_name": "SUZANNE",
"name_prefix": "Mrs.",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-16",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CO",
"license": "1234",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "16550234",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Platteville, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.