Individual provider Active NPI

Amelia Kirbo, AU.D.

  • Audiologist
  • Arvada, CO
National Provider Identifier
1215313820
Registry record updated Feb 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
957 Issued in CO
Practice address
7850 Vance Dr Ste 225
Arvada, CO 80003-2133
Phone
(303) 431-8881
Fax
(855) 324-5322
NPI assigned
Aug 5, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 957 CO Primary

Addresses

Primary practice location

7850 Vance Dr Ste 225
Arvada, CO 80003-2133

Mailing address

7850 Vance Dr Ste 225
Arvada, CO 80003-2133
Phone (303) 431-8881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200311000385 CO Practitioner - Qualified Audiologist 2567766413 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
957COMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Associates of Otolaryngology, P.C. CurrentSince Jan 11, 2020 Accepting new patients
Associates of Otolaryngology, P.C. CurrentSince Jan 11, 2020 Accepting new patients
Advantage ENT, LLP PastSince Oct 1, 2003 Accepting new patients

Locations

850 E Harvard Ave
Ste 505
Denver, CO 80210
Phone (303) 744-1961

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EBDHBA

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1215313820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7850 VANCE DR STE 225",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800032133",
            "telephone_number": "303-431-8881",
            "fax_number": "855-324-5322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7850 VANCE DR STE 225",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800032133",
            "telephone_number": "303-431-8881",
            "fax_number": "855-324-5322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRBO",
        "first_name": "AMELIA",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-05",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CO",
            "license": "957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.