Individual provider Active NPI

Ariel Kavanagh

  • Hearing Instrument Specialist
  • Colorado Springs, CO
National Provider Identifier
1063175750
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
Practice address
4711 Opus Dr Ste 110
Colorado Springs, CO 80906-8699
Phone
(719) 576-0861
NPI assigned
Oct 19, 2021
Last updated
Oct 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X
Hearing Instrument Specialist 237700000X Primary

Addresses

Primary practice location

4711 Opus Dr Ste 110
Colorado Springs, CO 80906-8699

Mailing address

150 S 5TH St Ste 2300
Minneapolis, MN 55402-4223
Phone (763) 268-4286

Other practice location 1

2099 W US Highway 50 Ste 130-D
Pueblo, CO 81008-1678
Phone (719) 593-1994

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL www.miracle-ear.com/PuebloCo
CONNECT URL www.miracle-ear.com/ColoradoSpringsSCO

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lifestyle Hearing Corporation USA Inc Audiologist-Hearing Aid Fitter Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1634601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1063175750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S 5TH ST STE 2300",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554024223",
            "telephone_number": "763-268-4286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 OPUS DR STE 110",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809068699",
            "telephone_number": "719-576-0861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2099 W US Highway 50 Ste 130-D",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810081678",
            "country_code": "US",
            "telephone_number": "719-593-1994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAVANAGH",
        "first_name": "ARIEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-19",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.miracle-ear.com/PuebloCo",
            "affiliation": "N",
            "address_1": "2099 W US Highway 50 Ste 130-D",
            "city": "Pueblo",
            "state": "CO",
            "country_code": "US",
            "postal_code": "810081678",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.miracle-ear.com/ColoradoSpringsSCO",
            "affiliation": "N",
            "address_1": "4711 Opus Dr Ste 110",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809068699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Oct 19, 2021; 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.