Amy S Civiello, M.A.CCC-A,FAAA

Primary specialty

AudiologistTaxonomy code 231H00000X

License

218 Issued in CO

Practice address

200 Union Blvd
Suite 421
Lakewood, CO 80228-1830

Phone

(720) 446-2828

Fax

(720) 446-0941

NPI assigned

Aug 18, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Qualified Audiologist

Education

University of Colorado School of Medicine, Denver, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mile High Audiology IncGroup PAC ID 8022302645, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EBDHBA

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.

• Mile High Audiology, Inc.

  • Audiologist
  • Lakewood, CO
  • NPI 1740649789
  Medicare reassignment Care Compare group NPD Authorized official
• Advantage ENT, LLP

  dba Advantage Audiologly

  • Otolaryngology Physician
  • Arvada, CO
  • NPI 1841375987
  NPD (past)

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463011200000",
    "number": "1811001969",
    "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": {
        "last_name": "CIVIELLO",
        "first_name": "AMY",
        "middle_name": "S",
        "credential": "M.A.CCC-A,FAAA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2016-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CO",
            "license": "218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "29451281",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Maria Chung, DO
• Younsuk Chung
• Kimball Cicciu, L.AC
• Rebecca Cincoski
• Carla Jeanette Cisneros, RN
• Hannah Clair, PA-C
• Cody Clapp
• Scott Charles Clapsaddle
• Patricia Clare, BCBA
• Clarity Life Medical PA

• 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 12, 2016; 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.