Individual provider Active NPI

Kinsley Hodgson, AUD

  • Audiologist
  • Broomfield, CO
National Provider Identifier
1700491073
Registry record updated Dec 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AUD.0001037 Issued in CO
Practice address
403 Summit Blvd Unit 204
Broomfield, CO 80021-8253
Phone
(720) 401-2139
NPI assigned
Sep 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2020

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.0001037 CO Primary

Addresses

Primary practice location

403 Summit Blvd Unit 204
Broomfield, CO 80021-8253

Mailing address

403 Summit Blvd Unit 204
Broomfield, CO 80021-8253
Phone (720) 401-2139

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201218002523 CO Practitioner - Qualified Audiologist 7618389479 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
J Michael King MD PCGroup PAC ID 4183898877, 13 clinicians

Practice addresses (Care Compare)

1030 Johnson Rd
Suite 350
Golden, CO 80401-6053
Phone (720) 401-2139

1606 Prairie Ctr Pkwy
Suite 370
Brighton, CO 80601-4005
Phone (720) 401-2139

Merit-based Incentive Payment System (MIPS)

Final score
84.08 of 100Reported as group
Quality
71.78
Promoting interoperability
100
Improvement activities
40
Cost
75.14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: kinsley.hodgson.1@3333.direct.athenahealth.com

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": "1599955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609372800000",
    "number": "1700491073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 SUMMIT BLVD UNIT 204",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800218253",
            "telephone_number": "720-401-2139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 SUMMIT BLVD UNIT 204",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800218253",
            "telephone_number": "720-401-2139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGSON",
        "first_name": "KINSLEY",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-13",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CO",
            "license": "AUD.0001037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2020; 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.