Individual provider Active NPI

Andrea Irene Martin, AUD

  • Audiologist
  • Colorado Springs, CO
National Provider Identifier
1710584602
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AUD.0001251 Issued in CO
Practice address
595 Chapel Hills Dr Ste 240
Colorado Springs, CO 80920-1056
Phone
(719) 364-4120
Fax
(719) 364-4121
NPI assigned
Oct 5, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 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 AUD.0001251 CO Primary

Addresses

Primary practice location

595 Chapel Hills Dr Ste 240
Colorado Springs, CO 80920-1056

Mailing address

2695 Rocky Mountain Ave Ste 150
Loveland, CO 80538-9071
Phone (970) 624-4123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, TX, GA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240425003999 CO Practitioner - Qualified Audiologist 7719307214 Reassigns benefits to 1 organization
I20260116001361 TX Practitioner - Qualified Audiologist 7719307214 Reassigns benefits to 1 organization
I20260527000580 GA Practitioner - Qualified Audiologist 7719307214 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
Privia Medical Group West Texas, PLLCGroup PAC ID 5597747378, 57 clinicians

Practice addresses (Care Compare)

35 Windmill Cir
Abilene, TX 79606-5234
Phone (325) 793-5165

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC CurrentSince Jun 17, 2024 Accepting new patients
Privia Medical Group West Texas, PLLC CurrentSince Jan 1, 2026 Accepting new patients
Poudre Valley Medical Group, LLC Current Accepting new patients
Privia Medical Group West Texas, PLLC CurrentSince Jan 1, 2026 Accepting new patients
Privia Medical Group West Texas, PLLC Past Accepting new patients

Locations

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

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

595 Chapel Hills Dr
Ste 240
Colorado Springs, CO 80920
Phone (719) 364-4120

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

35 Windmill Cir
Abilene, TX 79606
Phone (325) 428-5790

1665 Antilley Rd
Ste 170
Abilene, TX 79606
Phone (325) 437-8655

Organizations & group practices 6

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": "1601856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1710584602",
    "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": "970-624-4123",
            "fax_number": "970-490-4173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 CHAPEL HILLS DR STE 240",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809201056",
            "telephone_number": "719-364-4120",
            "fax_number": "719-364-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ANDREA",
        "middle_name": "IRENE",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-05",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CO",
            "license": "AUD.0001251",
            "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 Apr 18, 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.