Individual provider Active NPI

Erinn Michelle Jimmerson, AU.DCCC-A

  • Audiologist
  • Aurora, CO
National Provider Identifier
1669510996
Registry record updated Jun 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
449 Issued in CO
Practice address
22691 E Aurora Pkwy
Suite B5
Aurora, CO 80016-6087
Phone
(303) 400-2988
Fax
(303) 400-1227
NPI assigned
Feb 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 449 CO
Audiologist 231H00000X 449 CO Primary

Addresses

Primary practice location

22691 E Aurora Pkwy
Suite B5
Aurora, CO 80016-6087

Mailing address

501 20TH St
Campus Box 55
Greeley, CO 80639-6900
Phone (970) 351-2012

Other identifiers 1

IdentifierTypeStateIssuer
95336346MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
University of Northern Colorado Audiologist CurrentSince Dec 17, 2012 Accepting new patients

Locations

501 20th St
#55
Greeley, CO 80639
Phone (970) 351-2012

Organizations & group practices 1

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": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496880000000",
    "number": "1669510996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 20TH ST",
            "address_2": "CAMPUS BOX 55",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806396900",
            "telephone_number": "970-351-2012",
            "fax_number": "970-351-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22691 E AURORA PKWY",
            "address_2": "SUITE B5",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800166087",
            "telephone_number": "303-400-2988",
            "fax_number": "303-400-1227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMMERSON",
        "first_name": "ERINN",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "AU.DCCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2017-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CO",
            "license": "449",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CO",
            "license": "449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95336346",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2017; 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.