Organization Active NPI

Rocky Mountain Audiology LLC

  • Audiologist
  • Glenwood Springs, CO
National Provider Identifier
1396340295
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
ROCKY MOUNTAIN AUDIOLOGY LLC
Practice address
1607 Grand Ave Unit 21
Glenwood Springs, CO 81601-3873
Phone
(970) 404-0978
Fax
(844) 270-2073
NPI assigned
Dec 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Authorized official

Name
Dr. Daria B Stakiw, AUDNPI 1508030263
Title
Owner/Audiologist
Phone
(970) 404-0978

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X Primary

Addresses

Primary practice location

1607 Grand Ave Unit 21
Glenwood Springs, CO 81601-3873

Mailing address

1607 Grand Ave Unit 21
Glenwood Springs, CO 81601-3873
Phone (970) 404-0978

Other identifiers 1

IdentifierTypeStateIssuer
96822066MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dr.daria@rockymountainaudiology.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Rocky Mountain Audiology2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1607 Grand Ave
Unit 21
Glenwood Springs, CO 81601
Phone (970) 404-0978

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606780800000",
    "number": "1396340295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 GRAND AVE UNIT 21",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816013873",
            "telephone_number": "970-404-0978",
            "fax_number": "844-270-2073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 GRAND AVE UNIT 21",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816013873",
            "telephone_number": "970-404-0978",
            "fax_number": "844-270-2073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN AUDIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A",
        "authorized_official_last_name": "STAKIW",
        "authorized_official_first_name": "DARIA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/AUDIOLOGIST",
        "authorized_official_telephone_number": "970-404-0978",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "96822066",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dr.daria@rockymountainaudiology.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1607 Grand Ave Unit 21",
            "city": "Glenwood Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "816013873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glenwood Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.