Provider Demographics
NPI:1477559540
Name:IVES, TERRI EVELYN (SCD, AUD)
Entity Type:Individual
Prefix:DR
First Name:TERRI
Middle Name:EVELYN
Last Name:IVES
Suffix:
Gender:F
Credentials:SCD, AUD
Other - Prefix:DR
Other - First Name:TERRI
Other - Middle Name:EVELYN
Other - Last Name:CASEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SCD
Mailing Address - Street 1:9695 S YOSEMITE ST
Mailing Address - Street 2:SUITE 356
Mailing Address - City:LONETREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-2888
Mailing Address - Country:US
Mailing Address - Phone:303-993-8832
Mailing Address - Fax:303-954-8316
Practice Address - Street 1:9695 S YOSEMITE ST
Practice Address - Street 2:SUITE 356
Practice Address - City:LONETREE
Practice Address - State:CO
Practice Address - Zip Code:80124-2888
Practice Address - Country:US
Practice Address - Phone:303-993-8832
Practice Address - Fax:303-954-8316
Is Sole Proprietor?:No
Enumeration Date:2005-06-23
Last Update Date:2011-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO559231H00000X, 231HA2400X, 231HA2500X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Practitioner
No231HA2500XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Supplier
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO270320446OtherTRICARE
CO28087879Medicaid
CO80124A002OtherTRIWEST
CO80124A002OtherTRIWEST