Jeanette Marie Colburn, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

A-943 Issued in WY

Practice address

803 S 3Rd St
Laramie, WY 82070-4419

Phone

(307) 721-9527

NPI assigned

Nov 2, 2006

Last updated

Nov 15, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Jeanette Marie Colburn Professional name

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 1991

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195084800000",
    "number": "1972682045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 S 3RD ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820704419",
            "telephone_number": "307-721-9527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 S 3RD ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820704419",
            "telephone_number": "307-721-9527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLBURN",
        "first_name": "JEANETTE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WY",
            "license": "A-943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANETTE",
            "last_name": "COLBURN",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "AU.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Francesca Cocco
• Talal Cockar
• Katie Cockrell
• Kym Frances Codallos, MSW,ACSW,LCSW,CPRP
• Charles R Coffey, MD
• Cain J Cole, PT, DPT
• Anna Collins
• Michelle Collins, DC
• Sonya Colschen
• Sandra Combs

• Audiologist in Laramie, WY
• Providers in Laramie, WY by specialty
• Audiologist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.