Individual provider Active NPI

Brooke Schlachtenhaufen Owens

  • Physician Assistant
  • Aurora, CO
National Provider Identifier
1134732373
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0006325 Issued in CO
Practice address
5657 S Himalaya St Ste 100
Aurora, CO 80015-5308
Phone
(303) 699-6200
NPI assigned
Aug 27, 2020
Last updated
Aug 31, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X PA.0006325 CO Primary

Addresses

Primary practice location

5657 S Himalaya St Ste 100
Aurora, CO 80015-5308

Mailing address

22021 E Prentice PL
Aurora, CO 80015-7516

Other practice location 1

22021 E Prentice Pl
Aurora, CO 80015-7516
Phone (303) 549-9672

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Brooke.owens@cuanscutz.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210615001437 CO Practitioner - Physician Assistant 0244630143 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Hospital Colorado Current Accepting new patients
Inner City Health Center CurrentSince Jun 14, 2021 Accepting new patients
Aurora Pediatric Associates, LLP CurrentSince Sep 5, 2021 Accepting new patients
Aurora Pediatric Associates, LLP PastSince Sep 5, 2021 Accepting new patients

Locations

5657 S Himalaya St
Ste 100
Centennial, CO 80015
Phone (303) 699-6200

3800 N York St
Denver, CO 80205
Phone (303) 296-1767

Interoperability endpoints

  • Direct secure messaging: bowens97385@direct.childrenscolorado.org
  • Direct secure messaging: brooke.owens@cuanscutz.edu

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1598486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1134732373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22021 E PRENTICE PL",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800157516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5657 S HIMALAYA ST STE 100",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800155308",
            "telephone_number": "303-699-6200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22021 E Prentice Pl",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800157516",
            "country_code": "US",
            "telephone_number": "303-549-9672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OWENS",
        "first_name": "BROOKE",
        "middle_name": "SCHLACHTENHAUFEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-27",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0006325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Brooke.owens@cuanscutz.edu",
            "affiliation": "N",
            "address_1": "22021 E Prentice Pl",
            "city": "Aurora",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800157516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.