Marlo Ann Brumbaugh, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

121408 Issued in CO

Practice address

65 Baylor St
Pueblo, CO 81005-1610

Phone

(719) 566-7878

NPI assigned

Mar 5, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346379294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 BAYLOR ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810051610",
            "telephone_number": "719-566-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 BAYLOR ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810051610",
            "telephone_number": "719-566-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUMBAUGH",
        "first_name": "MARLO",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "121408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "58674845",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renee D Brown, M.A.
• Richelle Brown, LPC, LAC
• Stephen Theodore Brown, MD
• Melanie Bruce
• Melissa Bruce
• Brent A Brumfield, MD
• Rachel Brumfield, FNP
• Catherine L Brunetto, DC
• Aubreana Brungardt
• Chelsea Bruntmyer

• Registered Nurse in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Registered Nurse in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.