Individual provider Active NPI

Stephanie Preacher, AUD

  • Audiologist
  • Colorado Springs, CO
National Provider Identifier
1639863160
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
3843 Rio Vista Dr Ste 2200
Colorado Springs, CO 80917-3381
Phone
(719) 364-4120
Fax
(719) 364-4121
NPI assigned
Jun 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X Primary

Addresses

Primary practice location

3843 Rio Vista Dr Ste 2200
Colorado Springs, CO 80917-3381

Mailing address

2695 Rocky Mountain Ave Ste 150
Loveland, CO 80538-9071
Phone (970) 624-2417

Other practice location 1

6375 Lehman Dr
Colorado Springs, CO 80918-1415
Phone (719) 633-1494

Other practice location 2

595 Chapel Hills Dr Ste 325
Colorado Springs, CO 80920-1061
Phone (719) 364-4120

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230725001289 CO Practitioner - Qualified Audiologist 7315308210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

595 Chapel Hills Dr
Colorado Springs, CO 80920-1022
Phone (719) 364-4141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1211COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC CurrentSince Feb 26, 2024 Accepting new patients
Hearing Consultants of Colorado Springs, LLC Audiologist CurrentSince Jun 12, 2023 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Feb 26, 2024 Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

595 Chapel Hills Dr
Ste 325
Colorado Springs, CO 80920
Phone (719) 364-4120

8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633

6375 Lehman Dr
Ste 100
Colorado Springs, CO 80918
Phone (719) 633-1494

595 Chapel Hills Dr
Ste 325UCHMG
Colorado Springs, CO 80920
Phone (719) 364-4141

3843 Rio Vista Dr
Ste 2200
Colorado Springs, CO 80917
Phone (719) 364-4120

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

Organizations & group practices 3

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": "1686096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1639863160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 ROCKY MOUNTAIN AVE STE 150",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805389071",
            "telephone_number": "970-624-2417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3843 RIO VISTA DR STE 2200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809173381",
            "telephone_number": "719-364-4120",
            "fax_number": "719-364-4121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6375 Lehman Dr",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809181415",
            "country_code": "US",
            "telephone_number": "719-633-1494",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "595 Chapel Hills Dr Ste 325",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809201061",
            "country_code": "US",
            "telephone_number": "719-364-4120",
            "fax_number": "719-364-4171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PREACHER",
        "first_name": "STEPHANIE",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-07",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; 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.