Mile High Audiology, Inc.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AUD-218 Issued in CO

Legal business name

MILE HIGH AUDIOLOGY, INC.

Practice address

200 Union Blvd
Suite 421
Lakewood, CO 80228-1830

Phone

(720) 446-2828

Fax

(720) 446-0941

NPI assigned

Feb 18, 2016

Organization subpart

No

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

Authorized official

Name

Amy Civiello, M.A., CCC-A, FAAANPI 1811001969

Title

Owner

Phone

(303) 810-3774

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mile High Hearing Other name

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amy S Civiello, M.A.CCC-A,FAAA

  • Audiologist
  • Lakewood, CO
  • NPI 1811001969
  Medicare reassignment Care Compare group NPD Authorized official
• Marin Adkisson, AU.D.

  • Audiologist
  • Lakewood, CO
  • NPI 1639424096
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463097600000",
    "number": "1740649789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 UNION BLVD",
            "address_2": "SUITE 421",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281830",
            "telephone_number": "720-446-2828",
            "fax_number": "720-446-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 UNION BLVD",
            "address_2": "SUITE 421",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281830",
            "telephone_number": "720-446-2828",
            "fax_number": "720-446-0941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILE HIGH AUDIOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-18",
        "last_updated": "2016-05-13",
        "status": "A",
        "authorized_official_last_name": "CIVIELLO",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-810-3774",
        "authorized_official_credential": "M.A., CCC-A, FAAA"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "CO",
            "license": "AUD-218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "29451281",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mile High Hearing",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Monica Nagle Mikkelsen, LPCC
• Kathy A Milano, OD
• Paige Milasincic
• Michael P. Milausnic, D.D.S.
• Mile High Allergy Asthma & Sinus Center, LLC
• Mile High Care Services LLC
• Mile High Family Dental Inc.
• Mile High Family Medicine Inc
• Mile High Holistics, LLC
• Mile High Mobile Optical, Inc

• Audiologist in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Audiologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.