Michelle Gross, M.A., CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

35 Issued in CO

Practice address

258 3Rd St
Fort Lupton, CO 80621-2010

Phone

(303) 857-6688

Fax

(303) 857-4156

NPI assigned

Mar 27, 2007

Last updated

Oct 7, 2009By 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 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254873600000",
    "number": "1568580504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 3RD ST",
            "city": "FORT LUPTON",
            "state": "CO",
            "postal_code": "806212010",
            "telephone_number": "303-857-6688",
            "fax_number": "303-857-4156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 3RD ST",
            "city": "FORT LUPTON",
            "state": "CO",
            "postal_code": "806212010",
            "telephone_number": "303-857-6688",
            "fax_number": "303-857-4156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2009-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CO",
            "license": "35",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07075260",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PETI ID ASHA #",
            "identifier": "01007526",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Audiologist in Fort Lupton, CO
• Providers in Fort Lupton, CO by specialty
• Audiologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; 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.