Active NPI
Brenda J Cordova, CRNA
- Certified Registered Nurse Anesthetist
- Aurora, CO
National Provider Identifier
1356439665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 003429APRN
- Practice address
- 13611 E Colfax Ave
Aurora, CO 80045-5701 - Phone
- (203) 507-1155
- NPI assigned
- Oct 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 003429APRN | CT | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | RN123173 | CO |
Addresses
Primary practice location
13611 E Colfax Ave
Aurora, CO 80045-5701
Mailing address
14 Botte Dr
West Haven, CT 06516
Phone (203) 507-1155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN123173 | CO | MD | Certified Registered Nurse Anesthetist |
| 003429APRN | CT | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Farmington Surgery Center LLC | Past | Accepting new patients | |
| Hartford Anesthesiology Associates, Inc. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Ambulatory Surgical Clinic/Center
- Farmington, CT
- NPI 1356348148
-
- Anesthesiology Physician
- Hartford, CT
- NPI 1336195015
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218499200000",
"number": "1356439665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 BOTTE DR",
"city": "WEST HAVEN",
"state": "CT",
"postal_code": "06516",
"telephone_number": "203-507-1155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13611 E COLFAX AVE",
"city": "AURORA",
"state": "CO",
"postal_code": "800455701",
"telephone_number": "203-507-1155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORDOVA",
"first_name": "BRENDA",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-11",
"last_updated": "2008-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CT",
"license": "003429APRN",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CO",
"license": "RN123173",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.