Active NPI
Stacey Piccone
- Audiologist
- Colorado Springs, CO
National Provider Identifier
1376831958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AUD.0000764
- Practice address
- 2 S Cascade Ave
Ste 140
Colorado Springs, CO 80903-1624 - Phone
- (719) 538-2900
- Fax
- (719) 538-2987
- NPI assigned
- Jul 15, 2011
- Sex
- Female
- Sole proprietor
- No
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 | 231H00000X | LD60230650 | WA | |
| Audiologist | 231H00000X | AUD.0000764 | CO | Primary |
Addresses
Primary practice location
2 S Cascade Ave
Ste 140
Colorado Springs, CO 80903-1624
Mailing address
1625 Medical Center PT
Ste 210
Colorado Springs, CO 80907-5798
Phone (719) 635-5148
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 |
|---|---|---|---|
| AUD.0000764 | CO | MD | Audiologist |
| LD60230650 | WA | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470700800000",
"number": "1376831958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1625 MEDICAL CENTER PT",
"address_2": "STE 210",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809075798",
"telephone_number": "719-635-5148",
"fax_number": "719-448-0164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 S CASCADE AVE",
"address_2": "STE 140",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809031624",
"telephone_number": "719-538-2900",
"fax_number": "719-538-2987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICCONE",
"first_name": "STACEY",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-15",
"last_updated": "2016-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "WA",
"license": "LD60230650",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CO",
"license": "AUD.0000764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.