Individual provider Active NPI

Britany D Chamberlain

  • Family Nurse Practitioner
  • Rocky Ford, CO
National Provider Identifier
1194502369
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0999211-NP Issued in CO
Practice address
1014 Elm Ave
Rocky Ford, CO 81067-1328
Phone
(719) 254-7421
NPI assigned
Sep 12, 2023
Last updated
Oct 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.0999211-NP CO Primary
Registered Nurse 163W00000X RN.0197123 CO

Addresses

Primary practice location

1014 Elm Ave
Rocky Ford, CO 81067-1328

Mailing address

1014 Elm Ave
Rocky Ford, CO 81067-1328
Phone (719) 254-7421

Other practice location 1

16093 County Road Hh
Rocky Ford, CO 81067-9633
Phone (719) 469-6850

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
I20231211001036 CO Practitioner - Nurse Practitioner 8921457383 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiant Healthcare LLCGroup PAC ID 6406229038, 5 clinicians
Rocky Ford Family Health Center LLCGroup PAC ID 6002726114, 5 clinicians

Practice addresses (Care Compare)

1014 Elm Ave
Rocky Ford, CO 81067-1328
Phone (719) 254-7421

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN.0197123COMDRegistered Nurse
APN.0999211-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Radiant Healthcare LLC Family CurrentSince Oct 17, 2023 Accepting new patients

Locations

1014 Elm Ave
Rocky Ford, CO 81067
Phone (719) 254-7421

Interoperability endpoints

  • Direct secure messaging: britany.chamberlain.1@26604.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1194502369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 ELM AVE",
            "city": "ROCKY FORD",
            "state": "CO",
            "postal_code": "810671328",
            "telephone_number": "719-254-7421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 ELM AVE",
            "city": "ROCKY FORD",
            "state": "CO",
            "postal_code": "810671328",
            "telephone_number": "719-254-7421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16093 County Road Hh",
            "address_purpose": "LOCATION",
            "city": "Rocky Ford",
            "state": "CO",
            "postal_code": "810679633",
            "country_code": "US",
            "telephone_number": "719-469-6850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAMBERLAIN",
        "first_name": "BRITANY",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-12",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0999211-NP",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "RN.0197123",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Ford, CO

Sources for this page

Verify at the official NPI Registry.