Individual provider Active NPI

Angelina Rose Kinn, AU.D.

  • Audiologist
  • Colorado Springs, CO
National Provider Identifier
1346586054
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
690 Issued in CO
Practice address
2105 Academy Cir Ste 100
Colorado Springs, CO 80909-1664
Phone
(195) 912-4637
Fax
(719) 591-2484
NPI assigned
Dec 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 690 CO Primary

Addresses

Primary practice location

2105 Academy Cir Ste 100
Colorado Springs, CO 80909-1664

Mailing address

2105 Academy Cir Ste 100
Colorado Springs, CO 80909-1664
Phone (195) 912-4637

Other practice location 1

2801 Youngfield St
Unit 100
Golden, CO 80401-2263
Phone (303) 231-9118

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

LicenseStateTypeSpecialty
690COMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1356566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1346586054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 ACADEMY CIR STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091664",
            "telephone_number": "195-912-4637",
            "fax_number": "719-591-2484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 ACADEMY CIR STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091664",
            "telephone_number": "195-912-4637",
            "fax_number": "719-591-2484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2801 Youngfield St",
            "address_2": "Unit 100",
            "address_purpose": "LOCATION",
            "city": "Golden",
            "state": "CO",
            "postal_code": "804012263",
            "country_code": "US",
            "telephone_number": "303-231-9118",
            "fax_number": "303-233-9195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINN",
        "first_name": "ANGELINA",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-27",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CO",
            "license": "690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.