Green Mountain Neuromonitoring LLC

Primary specialty

AudiologistTaxonomy code 231H00000X

License

214 Issued in CO

Legal business name

GREEN MOUNTAIN NEUROMONITORING LLC

Practice address

13547 W Exposition Dr
Lakewood, CO 80228-3041

Phone

(720) 244-4498

Fax

(720) 963-0730

NPI assigned

May 10, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Janice M Bradburn, MSNPI 1457478422

Title

Owner

Phone

(720) 244-4498

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Janice Marie Bradburn, MS, CCC-A

  • Audiologist
  • Lakewood, CO
  • NPI 1457478422
  NPD (past) Authorized official
• Tracey E Lanham, MA, CCC-A

  • Audiologist
  • Lakewood, CO
  • NPI 1174640122
  NPD (past)
• Michelle Zotos, MS, CCC-A

  • Audiologist
  • Lakewood, CO
  • NPI 1356468763
  NPD (past)

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285848051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3464 S WILLOW ST",
            "address_2": "568",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802314531",
            "telephone_number": "303-755-2900",
            "fax_number": "303-755-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13547 W EXPOSITION DR",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802283041",
            "telephone_number": "720-244-4498",
            "fax_number": "720-963-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN MOUNTAIN NEUROMONITORING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRADBURN",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-244-4498",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CO",
            "license": "214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCSE",
            "identifier": "214",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA CERTIFICATION",
            "identifier": "01092084",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyssa Leigh Grebe
• Stephanie R Grebliunas, MS, CCC-SLP
• Green Gables Dental LLC
• Green Mountain Counseling LLC
• Green Mountain Dental Prof. LLC (Comfort Dental Green Mountain)
• Green Mountain Partners for Health PLLC
• Green Mountain Pediatrics
• Jessica Erin Green, RDN
• Scott M. Green, MD
• Francine Greenberg, RBT

• Audiologist in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Audiologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.