Karen Malott Gacnik, M.S. CCC-A

Primary specialty

Assistive Technology Practitioner AudiologistTaxonomy code 231HA2400X

License

471 Issued in CO

Practice address

712 Fortino Blvd
Ste. D
Pueblo, CO 81008-2084

Phone

(719) 542-1760

Fax

(179) 542-5115

NPI assigned

Mar 19, 2007

Last updated

Jan 7, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• High Plains Audiology

  • Audiologist
  • La Junta, CO
  • NPI 1144492398
  Medicare reassignment NPD Authorized official
• Health Seekers Enterprises PLLC

  • Otolaryngology Physician
  • Canon City, CO
  • NPI 1356994305
  NPD (past)
• Pueblo Audiology Center

  • Audiologist
  • Pueblo, CO
  • NPI 1487862835
  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199664000000",
    "number": "1871618108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 FORTINO BLVD",
            "address_2": "STE. D",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082084",
            "telephone_number": "719-542-1760",
            "fax_number": "179-542-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 FORTINO BLVD",
            "address_2": "STE. D",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082084",
            "telephone_number": "719-542-1760",
            "fax_number": "179-542-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GACNIK",
        "first_name": "KAREN",
        "middle_name": "MALOTT",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2008-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231HA2400X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": "CO",
            "license": "471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00200291",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robin Fuller
• Ariana E Fullmer
• Cassandra Holly Furlong, PNP, MS
• Amy Aileen Furney
• Future Hope Clinic LLC
• Shaleena Gadlin
• Beatrice Gagliardi, RN NP
• Fred Gagliardi, MSW
• Thomas K Gaide, MD
• Olivia Katelee Galassini

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; 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.