Active NPI
Stacey Erin McNulty
- Audiologist
- Englewood, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 738
- Practice address
- 401 W Hampden PL Ste 240
Englewood, CO 80110-2471 - Phone
- (303) 788-7880
- Fax
- (303) 788-7883
- NPI assigned
- Aug 18, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 1601000595 | MI | |
| Audiologist | 231H00000X | 738 | CO | Primary |
Addresses
Primary practice location
401 W Hampden PL Ste 240
Englewood, CO 80110-2471
Mailing address
401 W Hampden PL Ste 240
Englewood, CO 80110-2471
Phone (303) 788-7880
Other practice location 1
30055 Northwestern Hwy
Suite 101
Farmington Hills, MI 48334-3230
Phone (248) 865-4444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
701 E Hampden Ave
Suite 415
Englewood, CO 80113-2759
Phone (303) 788-7880
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.77 of 100
- Quality
- 76.88
- Improvement activities
- 40
- Cost
- 46.72
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 738 | CO | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Denver Ear Associates | Current | Accepting new patients | |
| Michigan Ear Institute PLLC | Past | Accepting new patients |
Locations
401 W Hampden Pl
Ste 240
Englewood, CO 80110
Phone (303) 788-7880
701 E Hampden Ave
Ste 415
Englewood, CO 80113
Phone (303) 597-1724
Interoperability endpoints
- https://api.platform.athenahealth.com/21058/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Specialist
- Englewood, CO
- NPI 1710962295
-
- Otolaryngology Physician
- Farmington Hills, MI
- NPI 1568575215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1780964049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 W HAMPDEN PL STE 240",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801102471",
"telephone_number": "303-788-7880",
"fax_number": "303-788-7883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 W HAMPDEN PL STE 240",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801102471",
"telephone_number": "303-788-7880",
"fax_number": "303-788-7883"
}
],
"practiceLocations": [
{
"address_1": "30055 Northwestern Hwy",
"address_2": "Suite 101",
"address_purpose": "LOCATION",
"city": "Farmington Hills",
"state": "MI",
"postal_code": "483343230",
"country_code": "US",
"telephone_number": "248-865-4444",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCNULTY",
"first_name": "STACEY",
"middle_name": "ERIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-18",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MI",
"license": "1601000595",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CO",
"license": "738",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.