Individual provider Active NPI

Kaela Fasman, AU.D.

  • Audiologist
  • Westminster, CO
National Provider Identifier
1275080236
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
0000816 Issued in CO
Practice address
12001 Tejon St
Suite 124
Westminster, CO 80234-2310
Phone
(720) 486-0171
NPI assigned
Sep 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 0000816 CO Primary

Addresses

Primary practice location

12001 Tejon St
Suite 124
Westminster, CO 80234-2310

Mailing address

12001 Tejon St
Suite 124
Westminster, CO 80234-2310
Phone (720) 486-0171

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181115001530 CO Practitioner - Qualified Audiologist 3375897051 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
The Sound Relief Center LLCGroup PAC ID 9335491331, 4 clinicians

Practice addresses (Care Compare)

200 Plaza Dr
Suite 110
Highlands Ranch, CO 80129-2348
Phone (720) 627-6378

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0000816COMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Sound Relief Center LLC Audiologist CurrentSince Oct 23, 2018 Accepting new patients

Locations

200 Plaza Dr
Ste 110
Highlands Ranch, CO 80129
Phone (720) 596-4938

12001 Tejon St
Ste 124
Westminster, CO 80234
Phone (303) 254-8700

Organizations & group practices 1

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": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1275080236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12001 TEJON ST",
            "address_2": "SUITE 124",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802342310",
            "telephone_number": "720-486-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12001 TEJON ST",
            "address_2": "SUITE 124",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802342310",
            "telephone_number": "720-486-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASMAN",
        "first_name": "KAELA",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CO",
            "license": "0000816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.