Active NPI
Annette W Berg, MA, CCC-A, F-AAA
- Audiologist
- Denver, CO
National Provider Identifier
1730354275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 363
- Practice address
- 155 S Madison St
Denver, CO 80209-3011 - Phone
- (303) 321-1408
- Fax
- (303) 321-1452
- NPI assigned
- Apr 25, 2008
- 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 | 363 | CO | Primary |
Addresses
Primary practice location
155 S Madison St
Denver, CO 80209-3011
Mailing address
8321 Sangre de Cristo Rd Ste 202
Littleton, CO 80127-6426
Phone (303) 984-4414
Other names 1
- Annette Wos
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 363 | CO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audiology Distribution, LLC | Past | Accepting new patients |
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": "1209081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438560000000",
"number": "1730354275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8321 SANGRE DE CRISTO RD STE 202",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801276426",
"telephone_number": "303-984-4414",
"fax_number": "303-984-6244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 S MADISON ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802093011",
"telephone_number": "303-321-1408",
"fax_number": "303-321-1452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERG",
"first_name": "ANNETTE",
"middle_name": "W",
"name_prefix": "Mrs.",
"credential": "MA, CCC-A, F-AAA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-25",
"last_updated": "2015-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CO",
"license": "363",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANNETTE",
"last_name": "WOS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.