Individual provider Active NPI

Brooke Gilstad, AUD

  • Audiologist
  • Lafayette, CO
National Provider Identifier
1073344982
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AUD.0001285 Issued in CO
Practice address
380 Empire Rd Ste 220
Lafayette, CO 80026-2677
Phone
(303) 664-9111
Fax
(336) 645-3333
NPI assigned
Aug 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AUD.0001285 CO Primary

Addresses

Primary practice location

380 Empire Rd Ste 220
Lafayette, CO 80026-2677

Mailing address

380 Empire Rd Ste 220
Lafayette, CO 80026-2677
Phone (303) 664-9111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240917002155 CO Practitioner - Qualified Audiologist 0345781472 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
University of Colorado School of Medicine, Denver, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Flatirons Audiology, IncGroup PAC ID 2466553722, 2 clinicians

Practice addresses (Care Compare)

380 Empire Rd
Suite 220
Lafayette, CO 80026-2677
Phone (303) 664-9111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0001285COMDMarriage & Family Therapist
AUD.0001285COMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Flatirons Audiology, Inc Audiologist CurrentSince Sep 1, 2024 Accepting new patients

Locations

380 Empire Rd
Ste 220
Lafayette, CO 80026
Phone (303) 664-9111

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1073344982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 EMPIRE RD STE 220",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800262677",
            "telephone_number": "303-664-9111",
            "fax_number": "336-645-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 EMPIRE RD STE 220",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800262677",
            "telephone_number": "303-664-9111",
            "fax_number": "336-645-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILSTAD",
        "first_name": "BROOKE",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CO",
            "license": "AUD.0001285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.