MEDICARE: DR. DANIEL E. KNUDSEN AU.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	237600000X	Audiologist-Hearing Aid Fitter	643	CO
2	231H00000X	Audiologist	00643	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	42	OTHER	AK	ALASKA AUDIOLOGY LICENSE NUMBER
2	643	OTHER	CO	COLORADO AUDIOLOGY LICENSE NUMBER

General Provider Information

NPI Number	:	1386650216
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL E. KNUDSEN AU.D.

Provider Business Mailing Address
First Line	:	1921 MAINSAIL DR
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80524-6708
Country	:	US
Telephone Number	:	970-817-2300
Fax Number	:	970-817-2301

Provider Business Practice Location Address
First Line	:	7950 6TH ST
Second Line	:
City	:	WELLINGTON
State	:	CO
Zip	:	80549-1830
Country	:	US
Telephone Number	:	970-817-2300
Fax Number	:	970-817-2301

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	11/20/2025

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