Kacy Herald Creswell, AUDIOLOGIST

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AUD.0001049 Issued in CO

Practice address

2643 Patterson Rd Ste 503
Grand Junction, CO 81506-1937

Phone

(970) 245-2400

Fax

(970) 242-9092

NPI assigned

Nov 8, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

88.88 of 100Reported as group

Quality

86.4

Promoting interoperability

95

Improvement activities

40

Cost

80.7

Medicare enrollment (NPD)

Enrolled

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.

• Colorado West Otolaryngologists PC

  dba ReGenesis Plastic Surgery & Dermatology

  • Otolaryngology/Facial Plastic Surgery Physician
  • Grand Junction, CO
  • NPI 1306831250

  Audiologist

  NPD

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

{
    "created_epoch": "1604793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604793600000",
    "number": "1891396560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2643 PATTERSON RD STE 503",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815061937",
            "telephone_number": "970-245-2400",
            "fax_number": "970-242-9092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2643 PATTERSON RD STE 503",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815061937",
            "telephone_number": "970-245-2400",
            "fax_number": "970-242-9092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRESWELL",
        "first_name": "KACY",
        "middle_name": "HERALD",
        "credential": "AUDIOLOGIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-08",
        "last_updated": "2020-11-08",
        "certification_date": "2020-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CO",
            "license": "AUD.0001049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Audiologist in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Audiologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.