Northfork Speech & Hearing PC

Primary specialty

AudiologistTaxonomy code 231H00000X

License

578 Issued in CO

Legal business name

NORTHFORK SPEECH & HEARING PC

Practice address

373 W Drake Rd Ste 5a
Fort Collins, CO 80526-2832

Phone

(970) 449-4110

Fax

(970) 449-4119

NPI assigned

Jan 12, 2012

Organization subpart

No

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

Authorized official

Name

Lori L Archie, AU.D.

Title

Owner

Phone

(307) 322-3332

Specialties & licenses 1

Addresses

Other names 1

• Frontier Audiology Doing business as

Locations

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361836800000",
    "number": "1881964401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 W DRAKE RD STE 5A",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805262832",
            "telephone_number": "970-449-4110",
            "fax_number": "970-449-4119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 W DRAKE RD STE 5A",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805262832",
            "telephone_number": "970-449-4110",
            "fax_number": "970-449-4119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHFORK SPEECH & HEARING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-12",
        "last_updated": "2013-02-26",
        "status": "A",
        "authorized_official_last_name": "ARCHIE",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-322-3332",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "CO",
            "license": "578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Frontier Audiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Audiologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.