=====================================================
General NPI Number Information
=====================================================
NPI Number | 1477001238
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | VITAL HEARING, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/21/2016
-----------------------------------------------------
Last Update Date | 09/30/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 710 KIPLING ST STE 306
-----------------------------------------------------
City | LAKEWOOD
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80215-5832
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 303-947-9887
-----------------------------------------------------
Fax | 303-567-8384
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 710 KIPLING ST STE 306
-----------------------------------------------------
City | LAKEWOOD
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80215-5832
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 303-947-9887
-----------------------------------------------------
Fax | 303-567-8384
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | ROBIN DONNELLY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 303-947-9887
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 237600000X
-----------------------------------------------------
Taxonomy Name | Audiologist-Hearing Aid Fitter
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------