Breta Claire Loughry, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0003130 Issued in CO

Practice address

640 High St Unit 1
Estes Park, CO 80517

Phone

(303) 618-1787

Fax

(970) 577-4363

NPI assigned

Sep 3, 2006

Last updated

Apr 23, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Breta Claire Loughry Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alpine Womens Healthcare, P.C.

  • Specialist
  • Englewood, CO
  • NPI 1194850693
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1124120688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 HIGH ST UNIT 1",
            "city": "ESTES PARK",
            "state": "CO",
            "postal_code": "805177665",
            "telephone_number": "303-618-1787",
            "fax_number": "970-577-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 HIGH ST UNIT 1",
            "city": "ESTES PARK",
            "state": "CO",
            "postal_code": "80517",
            "telephone_number": "303-618-1787",
            "fax_number": "970-577-4363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "499 E Hampden Ave",
            "address_2": "SUITE 350",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "CO",
            "postal_code": "801132780",
            "country_code": "US",
            "telephone_number": "303-744-3477",
            "fax_number": "303-733-5848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOUGHRY",
        "first_name": "BRETA",
        "middle_name": "CLAIRE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-03",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0003130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AANPCP",
            "identifier": "F0800341",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "58195",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AANPCP",
            "identifier": "0001436",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRETA",
            "last_name": "LOUGHRY",
            "middle_name": "CLAIRE",
            "credential": "FNP-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Randall Maharry

• Family Nurse Practitioner in Estes Park, CO
• Providers in Estes Park, CO by specialty
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.