Active NPI
Freedom Audiology, PLLC
- Audiologist
- Goodyear, AZ
National Provider Identifier
1386114759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- Legal business name
- FREEDOM AUDIOLOGY, PLLC
- Practice address
- 15655 W Roosevelt St Ste 216
Goodyear, AZ 85338-9342 - Phone
- (623) 696-5817
- Fax
- (623) 321-8009
- NPI assigned
- Nov 28, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Collin Cordery, AU.D.
- Title
- Owner / Audiologist
- Phone
- (623) 696-5817
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | Primary | ||
| Hearing and Speech Clinic/Center | 261QH0700X |
Addresses
Primary practice location
15655 W Roosevelt St Ste 216
Goodyear, AZ 85338-9342
Mailing address
15655 W Roosevelt St Ste 216
Goodyear, AZ 85338-9342
Phone (623) 696-5817
Other names 1
- Freedom Audiology
National Provider Directory
National Provider DirectoryLocations
15655 W Roosevelt St
Ste 216
Goodyear, AZ 85338
Phone (623) 696-5817
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1543363200000",
"number": "1386114759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15655 W ROOSEVELT ST STE 216",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853389342",
"telephone_number": "623-696-5817",
"fax_number": "623-321-8009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15655 W ROOSEVELT ST STE 216",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853389342",
"telephone_number": "623-696-5817",
"fax_number": "623-321-8009"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FREEDOM AUDIOLOGY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-28",
"last_updated": "2018-11-28",
"status": "A",
"authorized_official_last_name": "CORDERY",
"authorized_official_first_name": "COLLIN",
"authorized_official_title_or_position": "OWNER / AUDIOLOGIST",
"authorized_official_telephone_number": "623-696-5817",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "AU.D."
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QH0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, Hearing and Speech",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Freedom Audiology",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Goodyear, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.