Individual provider Active NPI

Cassie Iliff

  • Audiologist
  • Colorado Springs, CO
National Provider Identifier
1033597703
Registry record updated May 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
742 Issued in CO
Practice address
155 Printers Pkwy
#240
Colorado Springs, CO 80910-6100
Phone
(303) 619-6313
NPI assigned
May 13, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 742 CO Primary

Addresses

Primary practice location

155 Printers Pkwy
#240
Colorado Springs, CO 80910-6100

Mailing address

155 Printers Pkwy
#240
Colorado Springs, CO 80910-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180530000619 CO Practitioner - Qualified Audiologist 6800151572 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Springs Ear AssociatesGroup PAC ID 7810884681, 6 clinicians
Hearing Consultants of Colorado Springs, LLCGroup PAC ID 9436241981, 4 clinicians

Practice addresses (Care Compare)

2950 Professional PL
Suite 100
Colorado Springs, CO 80904-8106
Phone (719) 667-1327

6035 Erin Park Dr
Suite 201
Colorado Springs, CO 80918-3427
Phone (719) 633-1494

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
742COMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Springs Ear Associates CurrentSince Nov 18, 2020 Accepting new patients
Hearing Consultants of Colorado Springs, LLC Audiologist CurrentSince Jun 1, 2018 Accepting new patients
4344 Woodlands Blvd 240 LLC Audiologist PastSince Nov 18, 2020 Accepting new patients
Hearing Technology Consultants Inc Audiologist Past Accepting new patients

Locations

4344 Woodlands Blvd
Ste 240
Castle Rock, CO 80104
Phone (720) 408-9118

6375 Lehman Dr
Ste 100
Colorado Springs, CO 80918
Phone (719) 633-1494

2950 Professional Pl
Ste 100
Colorado Springs, CO 80904
Phone (719) 667-1327

6035 Erin Park Dr
Ste 201
Colorado Springs, CO 80918

155 Printers Pkwy
Ste 240
Colorado Springs, CO 80910
Phone (719) 633-1494

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": "1431475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431475200000",
    "number": "1033597703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 PRINTERS PKWY",
            "address_2": "#240",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809106100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 PRINTERS PKWY",
            "address_2": "#240",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809106100",
            "telephone_number": "303-619-6313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILIFF",
        "first_name": "CASSIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-13",
        "last_updated": "2015-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CO",
            "license": "742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; 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.