Active NPI
Linda Marlene Fudge, AUD
- Audiologist
- Littleton, CO
National Provider Identifier
1295849404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 73
- Practice address
- 7750 S Broadway
Suite 100
Littleton, CO 80122-2623 - Phone
- (303) 795-5587
- Fax
- (303) 795-3404
- NPI assigned
- Aug 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | 73 | CO | |
| Audiologist | 231H00000X | 73 | CO | Primary |
Addresses
Primary practice location
7750 S Broadway
Suite 100
Littleton, CO 80122-2623
Mailing address
10535 Jaguar PT
Littleton, CO 80124-9568
Phone (303) 795-5587
Other practice location 1
12605 E 16th Ave
Aurora, CO 80045-2545
Phone (720) 848-0000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73 | CO | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561680000000",
"number": "1295849404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10535 JAGUAR PT",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801249568",
"telephone_number": "303-795-5587",
"fax_number": "303-795-3404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7750 S BROADWAY",
"address_2": "SUITE 100",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801222623",
"telephone_number": "303-795-5587",
"fax_number": "303-795-3404"
}
],
"practiceLocations": [
{
"address_1": "12605 E 16th Ave",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800452545",
"country_code": "US",
"telephone_number": "720-848-0000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FUDGE",
"first_name": "LINDA",
"middle_name": "MARLENE",
"credential": "AUD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-18",
"last_updated": "2019-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "CO",
"license": "73",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CO",
"license": "73",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Littleton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.