Active NPI
Lori L Archie, AU.D., FAAA
- Audiologist
- Grand Junction, CO
National Provider Identifier
1710072681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- Practice address
- 2478 Patterson Rd
Grand Junction, CO 81505-3605 - Phone
- (970) 241-7950
- Fax
- (970) 241-7951
- NPI assigned
- Oct 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | Primary |
Addresses
Primary practice location
2478 Patterson Rd
Grand Junction, CO 81505-3605
Mailing address
8800 SE Sunnyside Rd Ste 300N
Clackamas, OR 97015-5703
Phone (281) 286-2999
Other practice location 1
12510 E Iliff Ave Ste 100
Aurora, CO 80014-6377
Phone (303) 745-1431
Other practice location 2
1803 E Pavilion Pl
Montrose, CO 81401-5337
Phone (970) 249-5370
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 558385YVKX | Other | CO | MEDICARE |
| 84139972101 | Medicaid | NE | |
| 1047043.00 | Medicaid | WY |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 168 | NE | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611705600000",
"number": "1710072681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8800 SE SUNNYSIDE RD STE 300N",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970155703",
"telephone_number": "281-286-2999",
"fax_number": "512-607-4893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2478 PATTERSON RD",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815053605",
"telephone_number": "970-241-7950",
"fax_number": "970-241-7951"
}
],
"practiceLocations": [
{
"address_1": "12510 E Iliff Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800146377",
"country_code": "US",
"telephone_number": "303-745-1431",
"fax_number": "303-996-9697",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1803 E Pavilion Pl",
"address_purpose": "LOCATION",
"city": "Montrose",
"state": "CO",
"postal_code": "814015337",
"country_code": "US",
"telephone_number": "970-249-5370",
"fax_number": "970-249-8926",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ARCHIE",
"first_name": "LORI",
"middle_name": "L",
"credential": "AU.D., FAAA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2021-01-27",
"certification_date": "2021-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "558385YVKX",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "84139972101",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1047043.00",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.