Professional Neurologics, LLC

Primary specialty

AudiologistTaxonomy code 231H00000X

Legal business name

PROFESSIONAL NEUROLOGICS, LLC

Practice address

1026 E 6TH Cir
Broomfield, CO 80020-1502

Phone

(303) 829-6753

Fax

(303) 781-2779

NPI assigned

Sep 1, 2011

Last updated

Sep 1, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tracey E Lanham, MA, CNIM, DABNMNPI 1174640122

Title

Managing Member

Phone

(303) 829-6753

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tracey E Lanham, MA, CCC-A

  • Audiologist
  • Lakewood, CO
  • NPI 1174640122
  NPD (past) Authorized official

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

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314835200000",
    "number": "1104107218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 E 6TH CIR",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800201502",
            "telephone_number": "303-829-6753",
            "fax_number": "303-781-2779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 E 6TH CIR",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800201502",
            "telephone_number": "303-829-6753",
            "fax_number": "303-781-2779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL NEUROLOGICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-01",
        "last_updated": "2011-09-01",
        "status": "A",
        "authorized_official_last_name": "LANHAM",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "303-829-6753",
        "authorized_official_credential": "MA, CNIM, DABNM"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ricarda Noelle Prentice, D.D.S.
• Nikki Price, RPH
• Kindra Nicole Priddy
• Candace Pritchett
• Pro-Motion Physical Therapy & Pilates, PLLC
• Professional Sleep Services
• Jeffrey Bryan Prystupa, D.C
• Alyssa Nicole Prytherch, BCBA
• Psychological Assessment and Therapy Services LLC
• Tiara Purcell, LCSW

• Audiologist in Broomfield, CO
• Providers in Broomfield, CO by specialty
• Audiologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2011; 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.