Active NPI
Barbara Ann Brewster Vaudreuil
- Audiologist
- Colorado Springs, CO
National Provider Identifier
1205043833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 0333611
- Practice address
- 14860 Sun Hills Dr
Colorado Springs, CO 80921-2954 - Phone
- (719) 488-1762
- NPI assigned
- May 16, 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 | 0333611 | CO | Primary |
Addresses
Primary practice location
14860 Sun Hills Dr
Colorado Springs, CO 80921-2954
Mailing address
14860 Sun Hills Dr
Colorado Springs, CO 80921-2954
Phone (719) 488-1762
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23156856 | Medicaid | CO |
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 |
|---|---|---|---|
| 0333611 | CO | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1205043833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14860 SUN HILLS DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809212954",
"telephone_number": "719-488-1762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14860 SUN HILLS DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809212954",
"telephone_number": "719-488-1762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREWSTER VAUDREUIL",
"first_name": "BARBARA",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-16",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CO",
"license": "0333611",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "23156856",
"state": "CO"
}
],
"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 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.