Individual provider Active NPI

Robin Lynn Humphrey, AU.D.

  • Audiologist
  • Lakewood, CO
National Provider Identifier
1306043476
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
484 Issued in CO
Practice address
255 Union Blvd Ste 220
Lakewood, CO 80228-1833
Phone
(303) 238-1366
Fax
(303) 238-0038
NPI assigned
Jun 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 484 CO Primary

Addresses

Primary practice location

255 Union Blvd Ste 220
Lakewood, CO 80228-1833

Mailing address

255 Union Blvd Ste 220
Lakewood, CO 80228-1833
Phone (303) 238-1366

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090114000127 CO Practitioner - Qualified Audiologist 4789674086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

255 Union Blvd
Suite 220
Lakewood, CO 80228-1833
Phone (303) 238-1366

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
484COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Erik W. Kreutzer, M.D., P.C., Dba Colorado Ear, Nose & Throat Group CurrentSince May 17, 2016 Accepting new patients
David C Kelsall MD PC Past Accepting new patients
Rocky Mountain Hearing Aid Center, LLC Past Accepting new patients
Audiology Services & Hearing AIDS Inc PastSince May 17, 2016 Accepting new patients
Greater Milwaukee Otolaryngology LLC Past Accepting new patients

Locations

255 Union Blvd
Ste 220
Lakewood, CO 80228
Phone (303) 238-1366

Organizations & group practices 5

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": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1306043476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 UNION BLVD STE 220",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281833",
            "telephone_number": "303-238-1366",
            "fax_number": "303-238-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 UNION BLVD STE 220",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281833",
            "telephone_number": "303-238-1366",
            "fax_number": "303-238-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHREY",
        "first_name": "ROBIN",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CO",
            "license": "484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.