Active NPI
Erika Lea Luther
- Audiologist
- Broomfield, CO
National Provider Identifier
1114072089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 0207313
- Practice address
- 13737 Meadowbrook CT
Broomfield, CO 80020-6165 - Phone
- (303) 588-2833
- NPI assigned
- Jan 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 0207313 | CO | Primary |
Addresses
Primary practice location
13737 Meadowbrook CT
Broomfield, CO 80020-6165
Mailing address
13737 Meadowbrook CT
Broomfield, CO 80020-6165
Phone (303) 588-2833
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82925216 | Medicaid | CO |
Other names 1
- Mrs. Erika Lea Wagner
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 |
|---|---|---|---|
| 0207313 | CO | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1114072089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13737 MEADOWBROOK CT",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800206165",
"telephone_number": "303-588-2833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13737 MEADOWBROOK CT",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800206165",
"telephone_number": "303-588-2833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUTHER",
"first_name": "ERIKA",
"middle_name": "LEA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-23",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CO",
"license": "0207313",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "82925216",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ERIKA",
"last_name": "WAGNER",
"middle_name": "LEA",
"prefix": "MRS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Broomfield, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.