Individual provider Active NPI

Brooke Leigh Harvey, LAT ATC

  • Athletic Trainer
  • Denver, CO
National Provider Identifier
1679112957
Registry record updated Jan 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
040502005 Issued in CO
Practice address
6900 E 47TH Avenue Dr Ste 150
Denver, CO 80216-3401
Phone
(303) 920-1200
Fax
(303) 920-1281
NPI assigned
Jan 3, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic TrainerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2255A2300X 040502005 CO Primary

Addresses

Primary practice location

6900 E 47TH Avenue Dr Ste 150
Denver, CO 80216-3401

Mailing address

10920 Flagler Dr
Parker, CO 80134-7640
Phone (970) 405-8038

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

State licenses

LicenseStateTypeSpecialty
040502005COMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1578009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578009600000",
    "number": "1679112957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10920 FLAGLER DR",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801347640",
            "telephone_number": "970-405-8038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 E 47TH AVENUE DR STE 150",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802163401",
            "telephone_number": "303-920-1200",
            "fax_number": "303-920-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARVEY",
        "first_name": "BROOKE",
        "middle_name": "LEIGH",
        "credential": "LAT ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-03",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CO",
            "license": "040502005",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 3, 2020; 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.