Organization Active NPI

Executive Audiology Group LLC

  • Audiologist
  • Colorado Springs, CO
National Provider Identifier
1134959182
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
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

Updated by the provider on Apr 9, 2026

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

Authorized official

Name
Dr. Bianca Sofia Liquori, AUDNPI 1912697368
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)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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": []
}

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 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.

Verify at the official NPI Registry.