Samuel Pennington, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AUD.0001210 Issued in CO

Practice address

7373 W Jefferson Ave Ste 302
Lakewood, CO 80235-2021

Phone

(303) 988-7299

NPI assigned

Jun 21, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Modern AudiologyGroup PAC ID 8921385618, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Modern Audiology

  • Audiologist
  • Lakewood, CO
  • NPI 1487194940
  Medicare reassignment Care Compare group NPD
• Modaud

  • Audiologist
  • Lakewood, CO
  • NPI 1508681214
  NPD
• Modern Audiology Centennial LLC

  • Durable Medical Equipment & Medical Supplies
  • Centennial, CO
  • NPI 1457815524
  NPD (past)

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1467137844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "944 IRVING ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802043144",
            "telephone_number": "312-852-3342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7373 W JEFFERSON AVE STE 302",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802352021",
            "telephone_number": "303-988-7299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNINGTON",
        "first_name": "SAMUEL",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CO",
            "license": "AUD.0001210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendolly Pena, MFTC.0014679
• Kimberly Pendleton, BCBA
• Penelope H Thron-Weber
• Erin Penn, PT, DPT
• Rachel Penn, PTA
• Mary M Penrose
• Peoples Pharmacy Inc
• Phillip Shawn Peralta I
• Andrea Consuelo Perea, PSYD, LCP
• Emilsa Miroslava Pereda, RN

• Audiologist in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Audiologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.