Individual provider Active NPI

Brandi Wiebusch Andersen, BSN, RN, IBCLC

  • Lactation Consultant (Registered Nurse)
  • Denver, CO
National Provider Identifier
1538310883
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
175113 Issued in CO
Practice address
6110 E Colfax Ave Ste 4-240
Denver, CO 80220-1566
Phone
(303) 900-2315
NPI assigned
Oct 6, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X 175113 CO Primary

Addresses

Primary practice location

6110 E Colfax Ave Ste 4-240
Denver, CO 80220-1566

Mailing address

6110 E Colfax Ave Ste 4-240
Denver, CO 80220-1566
Phone (303) 900-2315

Other identifiers 1

IdentifierTypeStateIssuer
1538804539OtherCO193400000X

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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
175113COMDLactation Consultant (Registered Nurse)

Practice roles

OrganizationSpecialtyStatusNew patients
The Lactation Connection Lactation Consultant CurrentSince May 8, 2022 Accepting new patients

Locations

6110 E Colfax Ave
Ste 4240
Denver, CO 80220
Phone (303) 900-2315

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": "1223251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1538310883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6110 E COLFAX AVE STE 4-240",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802201566",
            "telephone_number": "303-900-2315",
            "fax_number": "855-595-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6110 E COLFAX AVE STE 4-240",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802201566",
            "telephone_number": "303-900-2315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSEN",
        "first_name": "BRANDI",
        "middle_name": "WIEBUSCH",
        "credential": "BSN, RN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-06",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "CO",
            "license": "175113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "193400000X",
            "identifier": "1538804539",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.