MEDICARE: DR. ALLISON COLTISOR AU.D., F-AAA

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	231H00000X	Audiologist	AU3313	CA
2	237600000X	Audiologist-Hearing Aid Fitter	AUD7895	NM
3	231H00000X	Audiologist	1922	TN

General Provider Information

NPI Number	:	1538631288
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALLISON COLTISOR AU.D., F-AAA

Provider Business Mailing Address
First Line	:	1247 CENTRAL AVE RM 220
Second Line	:
City	:	LOS ALAMOS
State	:	NM
Zip	:	87544-3256
Country	:	US
Telephone Number	:	505-390-6995
Fax Number	:

Provider Business Practice Location Address
First Line	:	1247 CENTRAL AVE RM 220
Second Line	:
City	:	LOS ALAMOS
State	:	NM
Zip	:	87544-3256
Country	:	US
Telephone Number	:	505-390-6995
Fax Number	:

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

Provider Enumeration Date	:	12/19/2018
Last Update Date	:	11/12/2025

Similar Medicare Providers

1245197797 — JANE BROOKS COUNSELING LLC
Practice Location Address:

1247 CENTRAL AVE STE F-207
LOS ALAMOS, NM
87544-3256

Practice Phone: 541-221-5030
Practice Fax:

1710993639 — DR. LEWIS H ROBERTS D.D.S.
Practice Location Address:

1247 CENTRAL AVE , SUITE B
LOS ALAMOS, NM
87544-3256

Practice Phone: 505-662-2585
Practice Fax:

1104795939 — HEAR NEW MEXICO LLC
Practice Location Address:

1247 CENTRAL AVE RM 220
LOS ALAMOS, NM
87544-3256

Practice Phone: 505-390-6995
Practice Fax:

1659455228 — DR. ROBIN A PETERSON D.C.
Practice Location Address:

2084 9TH ST , STE. C
LOS OSOS, CA
93402-3256

Practice Phone: 805-528-4772
Practice Fax: 805-528-4776

1689092215 — DR. ETSEMAYE PAULOS AGONAFER M.D., M.P.H, M.S.
Practice Location Address:

10270 ALMAYO AVE APT 208
LOS ANGELES, CA
90064-3256

Practice Phone: 310-991-1985
Practice Fax:

1881240547 — MELLISSA HENRY FNP
Practice Location Address:

3742 GREEN AVE APT 3
LOS ALAMITOS, CA
90720-3256

Practice Phone: 909-758-6040
Practice Fax:

Directions to “ DR. ALLISON COLTISOR AU.D., F-AAA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.