Daria B Stakiw, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AUD-391 Issued in CO

Practice address

56 Edwards Village Blvd
222
Edwards, CO 81632-7802

Phone

(970) 404-0978

NPI assigned

Apr 14, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rocky Mountain Audiology LLCGroup PAC ID 3971775107, 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.

• Rocky Mountain Audiology LLC

  • Audiologist
  • Edwards, CO
  • NPI 1255610119
  Medicare reassignment Care Compare group NPD Authorized official
• Rocky Mountain Audiology LLC

  • Audiologist
  • Glenwood Springs, CO
  • NPI 1396340295
  NPD Authorized official

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1508030263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 STAGE COACH LN",
            "city": "NEW CASTLE",
            "state": "CO",
            "postal_code": "816479473",
            "telephone_number": "970-404-0978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 EDWARDS VILLAGE BLVD",
            "address_2": "222",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "816327802",
            "telephone_number": "970-404-0978"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1607 Grand Ave Unit 21",
            "address_purpose": "LOCATION",
            "city": "Glenwood Springs",
            "state": "CO",
            "postal_code": "816013873",
            "country_code": "US",
            "telephone_number": "970-945-7575",
            "fax_number": "844-270-2073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAKIW",
        "first_name": "DARIA",
        "middle_name": "B",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-14",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CO",
            "license": "AUD-391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "AUD-391",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA",
            "identifier": "12041091",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julia Page Shafer
• Jordan Shomaker
• Randy Simmonds
• Kristen Simpson, CCC-SLP
• Brandon M Smith, RN, MSN, APRN-BC
• Sabrina Ste-Marie, PA-C
• Steadman Clinic Professional LLC
• Stephanie Steele, PSYD
• Caleb Jayce Steen, RN BSN, MSN, PMHNP
• Gretchen Stich

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; 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.