Active NPI
Diane Brady, AUD
- Audiologist
- Colorado Springs, CO
National Provider Identifier
1104845627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AUD003610
- Practice address
- 25 N Spruce St
Suite 200
Colorado Springs, CO 80905-1436 - Phone
- (719) 327-5675
- NPI assigned
- Jul 18, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AUD003610 | GA | Primary |
Addresses
Primary practice location
25 N Spruce St
Suite 200
Colorado Springs, CO 80905-1436
Mailing address
610 Blackhawk Dr
Colorado Springs, CO 80919-1121
Phone (719) 327-5675
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
| License | State | Type | Specialty |
|---|---|---|---|
| AUD003610 | GA | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214956800000",
"number": "1104845627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 BLACKHAWK DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809191121",
"telephone_number": "719-327-5675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 N SPRUCE ST",
"address_2": "SUITE 200",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809051436",
"telephone_number": "719-327-5675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADY",
"first_name": "DIANE",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2008-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "GA",
"license": "AUD003610",
"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 Jul 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.