NPIMap

Organization Active NPI

Audiology Center of Northern Colorado LLC

  • Audiologist
  • Fort Collins, CO
National Provider Identifier
1215691928
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
AUDIOLOGY CENTER OF NORTHERN COLORADO LLC
Practice address
2001 S Shields St Ste H102
Fort Collins, CO 80526-1727
Phone
(970) 893-7621
Fax
(970) 893-7622
NPI assigned
Oct 28, 2021
Last updated
Jan 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Authorized official

Name
G. Natalie Phillips, AU.D.
Title
Owner
Phone
(970) 988-6037

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X Primary

Addresses

Primary practice location

2001 S Shields St Ste H102
Fort Collins, CO 80526-1727

Mailing address

2001 S Shields St Ste H102
Fort Collins, CO 80526-1727
Phone (970) 893-7621

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220411002217 CO Part B Supplier - Clinic/Group Practice 7113313545 Receives reassigned benefits from 2 practitioners
Practice locations: Fort Collins, CO

National Provider Directory

National Provider Directory

Locations

2001 S Shields St
Ste H102
Fort Collins, CO 80526
Phone (970) 493-8727

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1215691928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 S SHIELDS ST STE H102",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805261727",
            "telephone_number": "970-893-7621",
            "fax_number": "970-893-7622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S SHIELDS ST STE H102",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805261727",
            "telephone_number": "970-893-7621",
            "fax_number": "970-893-7622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDIOLOGY CENTER OF NORTHERN COLORADO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-28",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "G. NATALIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-988-6037",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.