Alexa Hazel Kolias, AUD

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

17.000662 Issued in CT

Practice address

141 Trout Ave
Groton, CT 06349

Phone

(860) 694-2453

NPI assigned

Mar 18, 2022

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1647561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647561600000",
    "number": "1639828676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 CHAPEL ST APT 1R",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065117409",
            "telephone_number": "847-809-8092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 TROUT AVE",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "06349",
            "telephone_number": "860-694-2453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLIAS",
        "first_name": "ALEXA",
        "middle_name": "HAZEL",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-18",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CT",
            "license": "17.000662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPEECH LANGUAGE HEARING ASSOCIATION",
            "identifier": "14382182",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF PUBLIC HEALTH PRACTITIONER LICENSING AND INVESTIGATIONS SECTION",
            "identifier": "17.000662",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Audiologist-Hearing Aid Fitter in Groton, CT
• Providers in Groton, CT by specialty
• Audiologist-Hearing Aid Fitter in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; 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.