Individual provider Active NPI

Tina Marie Stoody, PH.D.

  • Audiologist
  • Loveland, CO
National Provider Identifier
1790749745
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AUD.0000450 Issued in CO
Practice address
2243 W Eisenhower Blvd
Loveland, CO 80537-3147
Phone
(970) 669-1639
Fax
(970) 266-8495
NPI assigned
Apr 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AUD.0000450 CO Primary
Audiologist-Hearing Aid Fitter 237600000X AUD.0000450 CO

Addresses

Primary practice location

2243 W Eisenhower Blvd
Loveland, CO 80537-3147

Mailing address

3100 Remington St
Fort Collins, CO 80525-2602
Phone (970) 266-8380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080723000350 CO Practitioner - Qualified Audiologist 0446323547 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Longs Peak Audiology LLCGroup PAC ID 8224417852, 9 clinicians

Practice addresses (Care Compare)

3100 Remington St
Fort Collins, CO 80525-2602
Phone (970) 266-8380

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
AUD.0000450COMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Longs Peak Audiology, LLC Audiologist CurrentSince Nov 7, 2022 Accepting new patients
University of Northern Colorado Audiologist CurrentSince Mar 10, 2015 Accepting new patients

Locations

195 Telluride St
Unit 3
Brighton, CO 80601
Phone (303) 857-6688

210 Cameron St
Brush, CO 80723
Phone (970) 842-5552

3100 Remington St
Fort Collins, CO 80525
Phone (970) 266-8380

501 20th St
#55
Greeley, CO 80639
Phone (970) 351-2012

5255 Ronald Reagan Blvd
Ste 220
Johnstown, CO 80534
Phone (970) 370-7284

2243 W Eisenhower Blvd
Loveland, CO 80537
Phone (706) 691-6399

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.

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1790749745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 REMINGTON ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805252602",
            "telephone_number": "970-266-8380",
            "fax_number": "970-266-8495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2243 W EISENHOWER BLVD",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805373147",
            "telephone_number": "970-669-1639",
            "fax_number": "970-266-8495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOODY",
        "first_name": "TINA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-14",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CO",
            "license": "AUD.0000450",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CO",
            "license": "AUD.0000450",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.