Individual provider Active NPI

Brianna Bridges Jacobs, CNM

  • Advanced Practice Midwife
  • Lone Tree, CO
National Provider Identifier
1386426146
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
APN.0999120-CNM Issued in CO
Practice address
10465 Park Meadows Dr Ste 104
Lone Tree, CO 80124-5320
Phone
(303) 799-7903
NPI assigned
Oct 17, 2023
Last updated
Oct 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X APN.0999120-CNM CO Primary

Addresses

Primary practice location

10465 Park Meadows Dr Ste 104
Lone Tree, CO 80124-5320

Mailing address

3830 S Grant St
Englewood, CO 80113-3710
Phone (828) 301-7892

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231204001362 CO Practitioner - Certified Nurse Midwife (CNM) 9739537622 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
APN.0999120-CNMCOMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
OB-GYN Affiliates CurrentSince Oct 26, 2023 Accepting new patients
HCA Healthone LLC Past Accepting new patients
Denver Health and Hospital Authority Past Accepting new patients
Portercare Adventist Health System Past Accepting new patients
Denver Health and Hospital Authority Past Accepting new patients

Locations

4350 Limelight Ave
Unit 205
Castle Rock, CO 80109
Phone (303) 799-7903

7200 S Alton Way
Ste A100
Centennial, CO 80112
Phone (303) 730-2229

10465 Park Meadows Dr
Ste 104
Lone Tree, CO 80124
Phone (303) 649-3380

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1697500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1386426146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3830 S GRANT ST",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801133710",
            "telephone_number": "828-301-7892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10465 PARK MEADOWS DR STE 104",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245320",
            "telephone_number": "303-799-7903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "BRIANNA",
        "middle_name": "BRIDGES",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-17",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CO",
            "license": "APN.0999120-CNM",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lone Tree, CO

Sources for this page

Verify at the official NPI Registry.