Individual provider Active NPI

Gloria Natalie Phillips, AU.D

  • Audiologist
  • Fort Collins, CO
National Provider Identifier
1487622767
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
577 Issued in CO
Practice address
2001 S Shields St Ste H102
Fort Collins, CO 80526-1727
Phone
(970) 893-7621
Fax
(970) 893-7622
NPI assigned
Mar 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 577 CO Primary

Addresses

Primary practice location

2001 S Shields St Ste H102
Fort Collins, CO 80526-1727

Mailing address

2001 S Shields St Ste H102
Fort Collins, CO 80526-1727
Phone (970) 493-5334

Other identifiers 2

IdentifierTypeStateIssuer
P00837014OtherCORAILROAD MEDICARE
03075265MedicaidCO

Other names 1

  • Natalie Phillips Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100520000089 CO Practitioner - Qualified Audiologist 7214944784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Audiology Center of Northern Colorado LLCGroup PAC ID 7113313545, 2 clinicians

Practice addresses (Care Compare)

2001 S Shields St
Suite H102
Fort Collins, CO 80526-1727
Phone (970) 893-7621

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Center of Northern Colorado LLC Audiologist CurrentSince Dec 3, 2021 Accepting new patients

Locations

2001 S Shields St
Ste H102
Fort Collins, CO 80526
Phone (970) 493-8727

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1487622767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 S SHIELDS ST STE H102",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805261727",
            "telephone_number": "970-493-5334",
            "fax_number": "970-472-0638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S SHIELDS ST STE H102",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805261727",
            "telephone_number": "970-893-7621",
            "fax_number": "970-893-7622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "GLORIA",
        "middle_name": "NATALIE",
        "name_prefix": "Dr.",
        "credential": "AU.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-10",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CO",
            "license": "577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00837014",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03075265",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATALIE",
            "last_name": "PHILLIPS",
            "credential": "AUD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; 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.