Active NPI
Ariel Kavanagh
- Hearing Instrument Specialist
- Colorado Springs, CO
National Provider Identifier
1063175750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- 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, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| Organization | Specialty | Status | New 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.
-
- Audiologist-Hearing Aid Fitter
- Palm Beach Gardens, FL
- NPI 1316338346
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.