Provider Demographics
| NPI: | 1174739916 |
|---|---|
| Name: | GILCHRIST, NATHAN H (MS) |
| Entity type: | Individual |
| Prefix: | MR |
| First Name: | NATHAN |
| Middle Name: | H |
| Last Name: | GILCHRIST |
| Suffix: | |
| Gender: | M |
| Credentials: | MS |
| Other - Prefix: | |
| Other - First Name: | |
| Other - Middle Name: | |
| Other - Last Name: | |
| Other - Suffix: | |
| Other - Last Name Type: | |
| Other - Credentials: | |
| Mailing Address - Street 1: | 8321 SANGRE DE CRISTO RD |
| Mailing Address - Street 2: | STE 202 |
| Mailing Address - City: | LITTLETON |
| Mailing Address - State: | CO |
| Mailing Address - Zip Code: | 80127-6425 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 303-933-0017 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 8321 SANGRE DE CRISTO RD |
| Practice Address - Street 2: | SUITE 202 |
| Practice Address - City: | LITTLETON |
| Practice Address - State: | CO |
| Practice Address - Zip Code: | 80127-6425 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 303-984-4414 |
| Practice Address - Fax: | 303-984-6244 |
| Is Sole Proprietor?: | No |
| Enumeration Date: | 2007-05-16 |
| Last Update Date: | 2010-02-23 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| CO | AUD478 | 231H00000X |
| CO | 237600000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 231H00000X | Speech, Language and Hearing Service Providers | Audiologist | |
| No | 237600000X | Speech, Language and Hearing Service Providers | Audiologist-Hearing Aid Fitter |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| CO | AUD478 | Other | AUDIOLOGY LIC |
| CO | CO304936 | Medicare PIN |