Individual provider Active NPI

Jessica Sickels Danforth, AU.D.

  • Audiologist
  • Colorado Springs, CO
National Provider Identifier
1871334656
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
0001267 Issued in CO
Practice address
2950 Professional PL Ste 100
Colorado Springs, CO 80904-8106
Phone
(719) 667-1327
NPI assigned
Jun 4, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 0001267 CO Primary

Addresses

Primary practice location

2950 Professional PL Ste 100
Colorado Springs, CO 80904-8106

Mailing address

3285 Honeyburyl Dr
Colorado Springs, CO 80918-4780

Other names 1

  • Jessica Kristine Sickels Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240611002054 CO Practitioner - Qualified Audiologist 0345782926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Springs Ear AssociatesGroup PAC ID 7810884681, 6 clinicians

Practice addresses (Care Compare)

2950 Professional PL
Suite 100
Colorado Springs, CO 80904-8106
Phone (719) 667-1327

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0001267COMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Springs Ear Associates CurrentSince Jun 5, 2024 Accepting new patients

Locations

2950 Professional Pl
Ste 100
Colorado Springs, CO 80904
Phone (719) 667-1327

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": "1717459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1871334656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3285 HONEYBURYL DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809184780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 PROFESSIONAL PL STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809048106",
            "telephone_number": "719-667-1327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANFORTH",
        "first_name": "JESSICA",
        "middle_name": "SICKELS",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CO",
            "license": "0001267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "SICKELS",
            "middle_name": "KRISTINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.