Individual provider Active NPI

Brittany Rideaux, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Aurora, CO
National Provider Identifier
1245799592
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN.0998956-NP Issued in CO
Practice address
2675 S Abilene St Ste 100
Aurora, CO 80014-2363
Phone
(720) 507-4779
Fax
(833) 941-5047
NPI assigned
Mar 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.0998956-NP CO Primary
Registered Nurse 163W00000X 121016 OK

Addresses

Primary practice location

2675 S Abilene St Ste 100
Aurora, CO 80014-2363

Mailing address

4300 N Lincoln Blvd
Oklahoma City, OK 73105-5107
Phone (405) 425-0364

Other practice location 1

4300 N Lincoln Blvd
Oklahoma City, OK 73105-5107
Phone (405) 425-0364

Other practice location 2

14221 E 4th Ave Ste 2-126
Aurora, CO 80011-8735
Phone (720) 507-4779

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
I20230828001457 CO Practitioner - Nurse Practitioner 0042673873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mile High Psychiatry LLCGroup PAC ID 9032459656, 33 clinicians

Practice addresses (Care Compare)

14221 E 4TH Ave
Suite 2 126
Aurora, CO 80011-8735
Phone (720) 507-4779

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
121016OKMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mile High Psychiatry LLC Psychiatric/Mental Health CurrentSince Aug 14, 2023 Accepting new patients
Mile High Psychiatry, LLC Psychiatric/Mental Health CurrentSince Aug 14, 2023 Accepting new patients
Mile High Psychiatry LLC Psychiatric/Mental Health Past Accepting new patients

Locations

2675 S Abilene St
Ste 100
Aurora, CO 80014

14221 E 4th Ave
Ste 2126
Aurora, CO 80011
Phone (720) 262-7502

15355 E Colfax Ave
Unit 111717
Aurora, CO 80042

Interoperability endpoints

  • Direct secure messaging: brittany.rideaux.1@27879.direct.athenahealth.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1552780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1245799592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 N LINCOLN BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731055107",
            "telephone_number": "405-425-0364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 S ABILENE ST STE 100",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800142363",
            "telephone_number": "720-507-4779",
            "fax_number": "833-941-5047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4300 N Lincoln Blvd",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731055107",
            "country_code": "US",
            "telephone_number": "405-425-0364",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14221 E 4th Ave Ste 2-126",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800118735",
            "country_code": "US",
            "telephone_number": "720-507-4779",
            "fax_number": "833-941-5047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIDEAUX",
        "first_name": "BRITTANY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-17",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0998956-NP",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "121016",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.