Lucia Arriola-Story, AU.D.
Individual provider Active NPI Audiologist · Cortez, CO
NPI 1962428151 · NPPES record last updated Mar 28, 2022
Key facts
- NPI
- 1962428151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- License
- 343 (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
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Qualified Audiologist
- Education
- Other, 2006
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Philip D Wiley MD PC
Montezuma Hearing Clinic Inc
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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in CO, UT, NM
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 343 | CO | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Philip D Wiley MD PC | Current |
Accepting new patients | |
| San Juan Hearing Inc. | Current |
Accepting new patients | |
| Montezuma Hearing Clinic, Inc. | Audiologist | Current |
Accepting new patients |
Locations
892 Cottonwood St
Ste 2
Cortez, CO 81321
Phone (970) 565-4655
892 Cottonwood St
#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
802 S 200 W
Blanding, UT 84511
Phone (435) 678-3869
799 S 200 W
Blanding, UT 84511
Phone (435) 678-3601
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 343 | CO | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 46604839 | Medicaid | CO |
Other providers in Cortez, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.