Healthcare Provider Details

I. General information

NPI: 1679402382
Provider Name (Legal Business Name): CARRIE LOUISE RICHARDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4711 OPUS DR STE 110
COLORADO SPRINGS CO
80906-8699
US

IV. Provider business mailing address

5070 WHIMSICAL DR
COLORADO SPRINGS CO
80917-3224
US

V. Phone/Fax

Practice location:
  • Phone: 719-576-0059
  • Fax:
Mailing address:
  • Phone: 719-651-1430
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHAD.0000622
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: