Individual provider Active NPI

Brooke Underbrink, RN

  • Infusion Therapy Registered Nurse
  • Centennial, CO
National Provider Identifier
1700407012
Registry record updated Apr 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Registered NurseTaxonomy code 163WI0500X
License
0174919 Issued in CO
Practice address
7307 S Revere Pkwy Ste 200
Centennial, CO 80112-3931
Phone
(303) 355-4745
NPI assigned
Apr 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Registered Nurse 163WI0500X 0174919 CO Primary

Addresses

Primary practice location

7307 S Revere Pkwy Ste 200
Centennial, CO 80112-3931

Mailing address

1611 Daily Dr
Erie, CO 80516-7232
Phone (303) 775-2221

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address bunderbrink@ameritaiv.com Health Information Exchange (HIE)
Direct Messaging Address bunderbrink@ameritaiv.com Direct

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
0174919COMDInfusion Therapy Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1700407012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 DAILY DR",
            "city": "ERIE",
            "state": "CO",
            "postal_code": "805167232",
            "telephone_number": "303-775-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7307 S REVERE PKWY STE 200",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123931",
            "telephone_number": "303-355-4745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNDERBRINK",
        "first_name": "BROOKE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-28",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "CO",
            "license": "0174919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bunderbrink@ameritaiv.com",
            "affiliation": "N",
            "endpointDescription": "work email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7307 S Revere Pkwy Ste 200",
            "city": "Centennial",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801123931",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bunderbrink@ameritaiv.com",
            "affiliation": "N",
            "endpointDescription": "amerita iv email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7307 S Revere Pkwy Ste 200",
            "city": "Centennial",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801123931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.