Colleen Campbell Fitzpatrick, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

SLPAUD00220947 Issued in KY

Practice address

1725 Gagel Ave
Louisville, KY 40216-2763

Phone

(502) 893-0159

NPI assigned

May 26, 2015

Last updated

Mar 22, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Colleen Campbell Former name

Medicare fee-for-service enrollment

Enrolled in KY, IN2 enrollments

Enrollment records 2

Specialty

Qualified Audiologist

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced ENT and Allergy PLLCGroup PAC ID 2769525385, 37 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.34 of 100Reported as group

Quality

89.81

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Advanced ENT and Allergy PLLC

  • Otolaryngology Physician
  • Louisville, KY
  • NPI 1780817502

  Audiologist, IN

  Medicare reassignment Care Compare group NPD
• Merit Anesthesia PLLC

  • Certified Registered Nurse Anesthetist
  • Knoxville, TN
  • NPI 1366624967
  NPD

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1225417009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2944 BRECKENRIDGE LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402201409",
            "telephone_number": "502-893-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 GAGEL AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402162763",
            "telephone_number": "502-893-0159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2944 Breckenridge Ln",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402201409",
            "country_code": "US",
            "telephone_number": "502-893-0159",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 Stonecrest Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Shelbyville",
            "state": "KY",
            "postal_code": "400658143",
            "country_code": "US",
            "telephone_number": "502-893-0159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FITZPATRICK",
        "first_name": "COLLEEN",
        "middle_name": "CAMPBELL",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-26",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "KY",
            "license": "SLPAUD00220947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLEEN",
            "last_name": "CAMPBELL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rachel Catherine Fitzgerald, PSYD
• Laura Fitzgibbons
• Tara Renee Fitzner, REGISTERED NURSE
• Anne F. Fitzpatrick, MD
• Bridget Fitzpatrick, OTR/L
• Emily Fitzpatrick, LCSW
• James Farley Fitzpatrick, M.D.
• Michael Shawn Fitzpatrick, MD
• Sarah Fitzpatrick
• Sharri Marie Fitzpatrick, APRN

• Audiologist in Louisville, KY
• Providers in Louisville, KY by specialty
• Audiologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.