Rocky Mountain Audiology LLC

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AUD391 Issued in CO

Legal business name

ROCKY MOUNTAIN AUDIOLOGY LLC

Practice address

56 Edwards Village Blvd
Suite 222
Edwards, CO 81632-7802

Phone

(970) 926-6660

NPI assigned

Aug 10, 2011

Organization subpart

No

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

Authorized official

Name

Daria Bernice Stakiw, AU.D.NPI 1508030263

Title

Owner/Audiologist

Phone

(970) 404-0978

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Tax ID family

Rocky Mountain Audiology2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Rocky Mountain Audiology LLC

  • Audiologist
  • Glenwood Springs, CO
  • NPI 1396340295
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daria B Stakiw, AUD

  • Audiologist
  • Edwards, CO
  • NPI 1508030263
  Medicare reassignment Care Compare group NPD Authorized official
• Emily Sanders, AUD

  • Audiologist
  • Glenwood Springs, CO
  • NPI 1366180697
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602547200000",
    "number": "1255610119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 EDWARDS VILLAGE BLVD",
            "address_2": "SUITE 222",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "816327802",
            "telephone_number": "970-926-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 EDWARDS VILLAGE BLVD",
            "address_2": "SUITE 222",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "816327802",
            "telephone_number": "970-926-6660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1607 Grand Ave Unit 21",
            "address_purpose": "LOCATION",
            "city": "Glenwood Springs",
            "state": "CO",
            "postal_code": "816013873",
            "country_code": "US",
            "telephone_number": "970-945-7575",
            "fax_number": "844-270-2073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN AUDIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-10",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A",
        "authorized_official_last_name": "STAKIW",
        "authorized_official_first_name": "DARIA",
        "authorized_official_middle_name": "BERNICE",
        "authorized_official_title_or_position": "OWNER/AUDIOLOGIST",
        "authorized_official_telephone_number": "970-404-0978",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "CO",
            "license": "AUD391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "83786562",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "96822066",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey I Resnick, MD
• Riverwalk Natural Health Clinic and Natural Pharmacy LLC
• Riverwalk Periodontics LLC
• Glenn Todd Robison, D.M.D
• Jeffrey J Rockwell, MD
• Rocky Mountain Vein Institute, PLLC (American Vein & Vascular)
• Joshua Joseph Rodgers, M.D.
• Daniela Paula Rodriguez Melgarejo, M.A, CCC-SLP
• Maria Roques Escolar, MD
• Amanda Rosenberg, RN

• Audiologist in Edwards, CO
• Providers in Edwards, CO by specialty
• Audiologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.