Active NPI
Brandi Leigh Greenhouse, AU.D.
- Audiologist
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AUD.0000791
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 59770104 | Medicaid | CO |
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
| License | State | Type | Specialty |
|---|---|---|---|
| AUD.0000791 | CO | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optumcare Colorado Medical Group LLC | Current | Accepting new patients | |
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| Optumcare Colorado Medical Group LLC | Current | 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.
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- NPI 1407252828
-
- Rheumatology Physician
- Boulder, CO
- NPI 1922893478
-
- General Practice Physician
- Loveland, CO
- NPI 1225356868
-
- General Practice Physician
- Loveland, CO
- NPI 1366763260
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.