Individual provider Active NPI

Brenna B Whittey, AUD

  • Audiologist
  • Fort Collins, CO
National Provider Identifier
1306152491
Registry record updated Aug 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
601 Issued in CO
Practice address
1120 East Elizabeth Street
F 101
Fort Collins, CO 80524
Phone
(970) 221-1177
Fax
(970) 224-2892
NPI assigned
Aug 26, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 601 CO Primary

Addresses

Primary practice location

1120 East Elizabeth Street
F 101
Fort Collins, CO 80524

Mailing address

1120 East Elizabeth Street
F 101
Fort Collins, CO 80524
Phone (970) 221-1177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101227000261 CO Practitioner - Qualified Audiologist 1254529852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
University of Nevada School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alpine Ear Nose and Throat PCGroup PAC ID 9436127032, 25 clinicians

Practice addresses (Care Compare)

1120 E Elizabeth St
Suite F101
Fort Collins, CO 80524-4044
Phone (970) 221-1177

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
601COMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Alpine Ear, Nose and Throat, PC CurrentSince Nov 9, 2010 Accepting new patients

Locations

1120 E Elizabeth St
Ste F101
Fort Collins, CO 80524
Phone (970) 221-1177

3820 Grant Ave
Loveland, CO 80538
Phone (970) 593-1177

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1282780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282780800000",
    "number": "1306152491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 EAST ELIZABETH STREET",
            "address_2": "F 101",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "80524",
            "telephone_number": "970-221-1177",
            "fax_number": "970-224-2892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 EAST ELIZABETH STREET",
            "address_2": "F 101",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "80524",
            "telephone_number": "970-221-1177",
            "fax_number": "970-224-2892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTEY",
        "first_name": "BRENNA",
        "middle_name": "B",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-26",
        "last_updated": "2010-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CO",
            "license": "601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.