Active NPI
Executive Audiology Group LLC
- Audiologist
- Colorado Springs, CO
National Provider Identifier
1134959182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- Legal business name
- EXECUTIVE AUDIOLOGY GROUP LLC
- Practice address
- 5825 Delmonico Dr Office 320
Colorado Springs, CO 80919-2279 - Phone
- (719) 751-6481
- NPI assigned
- Aug 5, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bianca Sofia Liquori, AUD
- Title
- Doctor of Audiology
- Phone
- (719) 751-6481
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | Primary |
Addresses
Primary practice location
5825 Delmonico Dr Office 320
Colorado Springs, CO 80919-2279
Mailing address
6885 Mesa Ridge Pkwy
PMB 240
Fountain, CO 80817-1593
National Provider Directory
National Provider DirectoryLocations
6885 Mesa Ridge Pkwy
Fountain, CO 80817
Phone (443) 867-8104
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Audiologist
- Colorado Springs, CO
- NPI 1912697368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722816000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775692800000",
"number": "1134959182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6885 MESA RIDGE PKWY",
"address_2": "PMB 240",
"city": "FOUNTAIN",
"state": "CO",
"postal_code": "808171593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5825 DELMONICO DR OFFICE 320",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809192279",
"telephone_number": "719-751-6481"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXECUTIVE AUDIOLOGY GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-05",
"last_updated": "2026-04-09",
"certification_date": "2026-04-09",
"status": "A",
"authorized_official_last_name": "LIQUORI",
"authorized_official_first_name": "BIANCA",
"authorized_official_middle_name": "SOFIA",
"authorized_official_title_or_position": "DOCTOR OF AUDIOLOGY",
"authorized_official_telephone_number": "719-751-6481",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "AUD"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.