Individual provider Active NPI

Stacy May Whitcomb

  • Hearing Instrument Specialist
  • Colorado Springs, CO
National Provider Identifier
1053678441
Registry record updated Apr 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
191 Issued in CO
Practice address
202 E Cheyenne Mountain Blvd
Suite L
Colorado Springs, CO 80906-3769
Phone
(719) 538-8488
Fax
(719) 538-8288
NPI assigned
Apr 23, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 191 CO Primary

Addresses

Primary practice location

202 E Cheyenne Mountain Blvd
Suite L
Colorado Springs, CO 80906-3769

Mailing address

202 E Cheyenne Mountain Blvd
Suite L
Colorado Springs, CO 80906-3769
Phone (719) 538-8488

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

State licenses

LicenseStateTypeSpecialty
191COMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335139200000",
    "number": "1053678441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 E CHEYENNE MOUNTAIN BLVD",
            "address_2": "SUITE L",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063769",
            "telephone_number": "719-538-8488",
            "fax_number": "719-538-8288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E CHEYENNE MOUNTAIN BLVD",
            "address_2": "SUITE L",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063769",
            "telephone_number": "719-538-8488",
            "fax_number": "719-538-8288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITCOMB",
        "first_name": "STACY",
        "middle_name": "MAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-23",
        "last_updated": "2012-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CO",
            "license": "191",
            "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 Apr 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.