Individual provider Active NPI

Lucia Arriola-Story, AU.D.

  • Audiologist
  • Cortez, CO
National Provider Identifier
1962428151
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
343 Issued in CO
Practice address
892 Cottonwood St
Suite #2
Cortez, CO 81321-2200
Phone
(970) 565-4655
Fax
(970) 565-4531
NPI assigned
Jul 14, 2006
Last updated
Mar 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 343 CO Primary

Addresses

Primary practice location

892 Cottonwood St
Suite #2
Cortez, CO 81321-2200

Mailing address

892 Cottonwood St
Suite #2
Cortez, CO 81321-2200
Phone (970) 565-4655

Other identifiers 1

IdentifierTypeStateIssuer
46604839MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, UT, NM3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040830000013 CO Practitioner - Qualified Audiologist 3375518046 Reassigns benefits to 2 organizations
I20131126001928 UT Practitioner - Qualified Audiologist 3375518046 Reassigns benefits to 1 organization
I20230109000290 NM Practitioner - Qualified Audiologist 3375518046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2006
Medicare assignment
May accept Medicare assignment
Group practices
Philip D Wiley MD PCGroup PAC ID 0840284758, 2 clinicians
Montezuma Hearing Clinic IncGroup PAC ID 0941275614, 2 clinicians

Practice addresses (Care Compare)

1165 S Camino del Rio
Suite 200
Durango, CO 81303-6824
Phone (970) 247-2920

2355 E 30TH St
Farmington, NM 87401-8900
Phone (505) 325-7474

802 S 200
Blanding, UT 84511-3910
Phone (970) 565-4655

892 Cottonwood St
Suite 2
Cortez, CO 81321-2200
Phone (970) 565-4655

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
343COMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Philip D Wiley MD PC CurrentSince Feb 2, 2022 Accepting new patients
Montezuma Hearing Clinic, Inc. Audiologist CurrentSince Jul 1, 2004 Accepting new patients
San Juan Hearing Inc. CurrentSince Aug 23, 2022 Accepting new patients

Locations

892 Cottonwood St
#2
Cortez, CO 81321
Phone (970) 565-4655

892 Cottonwood St
Ste 2
Cortez, CO 81321
Phone (970) 565-4655

1165 S Camino del Rio
Ste 200
Durango, CO 81303
Phone (970) 247-2920

2355 E 30th St
Farmington, NM 87401
Phone (505) 325-7474

799 S 200 W
Blanding, UT 84511
Phone (435) 678-3601

802 S 200 W
Blanding, UT 84511
Phone (435) 678-3869

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1962428151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "892 COTTONWOOD ST",
            "address_2": "SUITE #2",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813212200",
            "telephone_number": "970-565-4655",
            "fax_number": "970-565-4531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "892 COTTONWOOD ST",
            "address_2": "SUITE #2",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813212200",
            "telephone_number": "970-565-4655",
            "fax_number": "970-565-4531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARRIOLA-STORY",
        "first_name": "LUCIA",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CO",
            "license": "343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "46604839",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortez, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; 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.