DR. STACEY PICCONE (NPI# 1376831958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376831958 |
| Entity Type | Individual |
| Full Name | DR. STACEY PICCONE |
| Practice Address |
2 S Cascade Ave Ste 140 Colorado Springs CO 80903-1624 |
| Mailing Address |
1625 Medical Center Pt Ste 210 Colorado Springs CO 80907-5798 |
| Practice Telephone | 7195382900 |
| Practice Fax Number | 7195382987 |
| Mailing Telephone | 7196355148 |
| Mailing Fax Number | 7194480164 |
| Enumeration Date | 2011-07-15 |
| Last Update Date | 2016-08-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | AUD.0000764 | CO | Speech, Language and Hearing Service Providers |
| N | 231H00000X | Audiologist | LD60230650 | WA | Speech, Language and Hearing Service Providers |
| Street Address |
2 S CASCADE AVE STE 140 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80903-1624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659360238 | Jay L Adler | Family Medicine | 2 S Cascade Ave, Suite140, Colorado Springs, CO 80903-1624 | 2005-10-17 |
| 1407252828 | Optumcare Colorado Springs, LLC | General Practice | 2 S Cascade Ave, Ste 140, Colorado Springs, CO 80903 | 2014-11-12 |
| 1619009388 | Optumcare Colorado Springs, LLC | Clinical Medical Laboratory | 2 S Cascade Ave, Suite 140, Colorado Springs, CO 80903-1624 | 2007-03-09 |
| 1306812821 | Michael A Fox | Radiology | 2 S Cascade Ave, 140, Colorado Springs, CO 80903-1624 | 2006-02-24 |
| 1134195605 | Robert H Gibbs | Family Medicine | 2 S Cascade Ave, 140, Colorado Springs, CO 80903-1624 | 2006-02-24 |
| 1396711024 | Lawrence Dunn | Internal Medicine | 2 S Cascade Ave, 140, Colorado Springs, CO 80903-1624 | 2006-02-23 |
| 1699741348 | Brodie Gerrard-gough | Surgery | 2 S Cascade Ave, 140, Colorado Springs, CO 80903-1624 | 2006-02-23 |
| 1225009798 | Kevin Corrigan | Pediatrics | 2 S Cascade Ave, 140, Colorado Springs, CO 80903-1624 | 2006-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235752437 | Lisa Mae Bunch | Behavior Technician | 102 South Tajon St. Ste 1100, Colorado Springs, CO 80903 | 2020-05-21 |
| 1164045407 | Lajanae Davis | Behavior Technician | 102 S. Tajon Street Ste. 1100, Colorado Springs, CO 80903 | 2020-05-21 |
| 1144855321 | Quinn Macdonald | Specialist/Technologist | 1332 N Weber Street, Colorado Springs, CO 80903 | 2020-03-08 |
| 1043784994 | Neuro Peak Performance, LLC | Counselor | 801 N. Weber St Suite 101, Colorado Springs, CO 80903 | 2019-01-14 |
| 1356828297 | Heart of The Phoenix, LLC | Social Worker | 1422 N Hancock Ave Ste 1, Colorado Springs, CO 80903 | 2018-07-24 |
| 1699269290 | Jenevieve Marie Briand | Day Training/Habilitation Specialist | 427 E Colorado Ave Ste 225, Colorado Springs, CO 80903 | 2018-06-18 |
| 1669983292 | Robin Dina Shankman | Massage Therapist | 127 E. Las Animas, Colorado Springs, CO 80903 | 2017-10-23 |
| 1023559804 | Sean Michael Blumahrdt | Specialist/Technologist, Other | 13 South Tejon St, Ste 501, Colorado Springs, CO 80903 | 2017-03-14 |
| 1366980682 | Edge Medical Services | Clinic/Center | 152 West Colorado Ave, Colorado Springs, CO 80903 | 2017-02-07 |
| 1093267890 | Brittany Nicole Holmes | Behavioral Analyst | 938 S Sierra Madre, Colorado Springs, CO 80903 | 2016-10-27 |
| Find all providers in zip 80903 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881208171 | Juliana Alyssa Dezolt | Audiologist | 6375 Lehman Dr Ste 100, Colorado Springs, CO 80918-1427 | 2020-09-03 |
| 1538727474 | Lisa Morales | Audiologist | 3225 International Cir Ste 102, Colorado Springs, CO 80910 | 2019-06-05 |
| 1700362308 | Kacy Hooten | Audiologist | 2105 Academy Cir Ste 100, Colorado Springs, CO 80909-1664 | 2018-07-17 |
| 1356870554 | Chynna Phillips Frana | Audiologist | 1685 Briargate Blvd Ste D, Colorado Springs, CO 80920-3417 | 2017-06-09 |
| 1497296214 | Damon Boyce | Audiologist | 5444 Mountain Garland Dr, Colorado Springs, CO 80923-8816 | 2017-03-13 |
| 1629527239 | Joel Douglas Hart | Audiologist | 1610 S 8th St, Colorado Springs, CO 80905-1925 | 2016-09-23 |
| 1194271791 | Jordan Hill/sanders | Audiologist | 10142 Declaration Dr, Colorado Springs, CO 80925-8428 | 2016-09-01 |
| 1265810931 | Hearing Consultants of Colorado Springs, LLC | Audiologist | 155 Printers Pkwy Ste 240, Colorado Springs, CO 80910-6105 | 2015-05-13 |
| 1720482615 | 4319 Consulting, Inc. | Audiologist | 1917 Ripple Ridge Rd, Colorado Springs, CO 80921-1913 | 2014-10-21 |
| 1649612334 | Hearing Rehabilitation Center Inc | Audiologist | 1610 South 8th Street, Colorado Springs, CO 80905-0000 | 2013-07-23 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80903 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.