Individual provider Active NPI

Brandi Leigh Greenhouse, AU.D.

  • Audiologist
  • Colorado Springs, CO
National Provider Identifier
1700267630
Registry record updated Aug 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AUD.0000791 Issued in CO
Practice address
1625 Medical Center PT
Colorado Springs, CO 80907
Phone
(179) 635-5148
Fax
(719) 448-0717
NPI assigned
Jun 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assistive Technology Practitioner Audiologist 231HA2400X AUD.0000791 CO
Audiologist 231H00000X AUD.0000791 CO Primary

Addresses

Primary practice location

1625 Medical Center PT
Colorado Springs, CO 80907

Mailing address

2 S Cascade Ave Ste 140
Colorado Springs, CO 80903-1604
Phone (719) 866-6568

Other identifiers 1

IdentifierTypeStateIssuer
59770104MedicaidCO

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
AUD.0000791COMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Optumcare Colorado Medical Group LLC CurrentSince Oct 16, 2017 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Aug 27, 2018 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Aug 27, 2018 Accepting new patients
Optumcare Colorado Medical Group LLC CurrentSince Oct 16, 2017 Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

2 S Cascade Ave
Ste 140
Colorado Springs, CO 80903
Phone (719) 538-2900

595 Chapel Hills Dr
Ste 240
Colorado Springs, CO 80920
Phone (719) 364-4120

1625 Medical Center Pt
Colorado Springs, CO 80907
Phone (719) 576-4744

1625 Medical Center Pt
Ste 290
Colorado Springs, CO 80907
Phone (719) 635-5148

8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633

595 Chapel Hills Dr
Ste 325
Colorado Springs, CO 80920
Phone (719) 364-4120

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

Organizations & group practices 4

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": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535068800000",
    "number": "1700267630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 S CASCADE AVE STE 140",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809031604",
            "telephone_number": "719-866-6568",
            "fax_number": "719-538-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 MEDICAL CENTER PT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80907",
            "telephone_number": "179-635-5148",
            "fax_number": "719-448-0717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENHOUSE",
        "first_name": "BRANDI",
        "middle_name": "LEIGH",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-16",
        "last_updated": "2018-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231HA2400X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": "CO",
            "license": "AUD.0000791",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CO",
            "license": "AUD.0000791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "59770104",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2018; 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.