Individual provider Active NPI

Kori Lynne Zedaker, AU.D.

  • Audiologist
  • Parker, CO
National Provider Identifier
1568958148
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AUD.0000922 Issued in CO
Practice address
9403 Crown Crest Blvd Ste 300ENT
Parker, CO 80138-8882
Phone
(720) 274-2544
NPI assigned
Jul 6, 2018
Last updated
Mar 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 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 AUD.0000922 CO Primary

Addresses

Primary practice location

9403 Crown Crest Blvd Ste 300ENT
Parker, CO 80138-8882

Mailing address

9403 Crown Crest Blvd Ste 300ENT
Parker, CO 80138-8882
Phone (720) 274-2544

Other practice location 1

7851 S Elati St Ste 102
Littleton, CO 80120-8081
Phone (303) 798-1309 ext. 8

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200504000937 CO Practitioner - Qualified Audiologist 5294166435 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

9403 Crown Crest Blvd 300 ENT
Etpk ENT PKR
Parker, CO 80138-9048
Phone (720) 274-2544

Merit-based Incentive Payment System (MIPS)

Final score
85.96 of 100Reported as group
Quality
78.58
Promoting interoperability
100
Improvement activities
40
Cost
74.61

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AUD.0000922COMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
David C Kelsall MD PC CurrentSince Apr 1, 2020 Accepting new patients
Portercare Adventist Health System Current Accepting new patients
Portercare Adventist Health System CurrentSince Mar 14, 2022 Accepting new patients
Portercare Adventist Health System CurrentSince Mar 14, 2022 Accepting new patients
Portercare Adventist Health System PastSince Mar 20, 2022 Accepting new patients
Portercare Adventist Health System Past Accepting new patients

Locations

601 E Hampden Ave
Ste 430
Englewood, CO 80113
Phone (303) 783-9220

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

9403 Crown Crest Blvd
Ste 300
Parker, CO 80138
Phone (303) 269-4410

9403 Crown Crest Blvd
Ste 300ENT
Parker, CO 80138
Phone (720) 274-2544

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1530835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1568958148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9403 CROWN CREST BLVD STE 300ENT",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801388882",
            "telephone_number": "720-274-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9403 CROWN CREST BLVD STE 300ENT",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801388882",
            "telephone_number": "720-274-2544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7851 S Elati St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "801208081",
            "country_code": "US",
            "telephone_number": "303-798-1309 x8",
            "fax_number": "303-798-2319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZEDAKER",
        "first_name": "KORI",
        "middle_name": "LYNNE",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-06",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CO",
            "license": "AUD.0000922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

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