Julie Marie Peterson, AUD, CCC-A CO#829

Primary specialty

AudiologistTaxonomy code 231H00000X

License

829 Issued in CO

Practice address

6121 Secrest CT
Arvada, CO 80403-7501

Phone

(520) 425-5766

NPI assigned

Aug 16, 2007

Last updated

Jan 21, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Qualified Audiologist

Education

University of Arizona College of Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Marion Downs CenterGroup PAC ID 9234029034, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

• Marion Downs Center

  • Audiologist
  • Denver, CO
  • NPI 1114148335
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484956800000",
    "number": "1467644112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6121 SECREST CT",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "804037501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6121 SECREST CT",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "804037501",
            "telephone_number": "520-425-5766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "JULIE",
        "middle_name": "MARIE",
        "credential": "AUD, CCC-A  CO#829",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-16",
        "last_updated": "2017-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CO",
            "license": "829",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AZ",
            "license": "DA985",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "427569",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melinda Ann Perry, LCSW
• Personal Integrative PT PLLC
• Renae M Pester, LPCC
• Madeline Peters, OTD
• Jennifer Petersen, L.AC.
• Peggy Anne Peterson, PHARMACIST
• Tyr R. Peterson, D.D.S.
• Deborah Ann Petz, RN
• Sabrina Petzak, MS, OTR/L
• Christine Petzold, M.A., BCBA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2017; 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.