Organization Active NPI

Freedom Audiology, PLLC

  • Audiologist
  • Goodyear, AZ
National Provider Identifier
1386114759
Registry record updated Nov 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
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

Updated by the provider on Nov 28, 2018

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)CodeLicenseStatePrimary
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.