Individual provider Active NPI

Brenda Kae Carver-Torres, FNP-C

  • Nurse Practitioner
  • Pueblo, CO
National Provider Identifier
1700970142
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN121977 Issued in CO
Practice address
1600 N Grand Ave
Suite 440
Pueblo, CO 81003
Phone
(719) 543-3500
Fax
(719) 543-3504
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN121977 CO Primary

Addresses

Primary practice location

1600 N Grand Ave
Suite 440
Pueblo, CO 81003

Mailing address

1600 N Grand Ave
Suite 440
Pueblo, CO 81003
Phone (719) 543-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050829000534 CO Practitioner - Nurse Practitioner 3971534058 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Digestive Diseases Specialists of Colorado,LLCGroup PAC ID 8527022060, 4 clinicians

Practice addresses (Care Compare)

1600 N Grand Ave
Suite 440
Pueblo, CO 81003-2760
Phone (719) 543-3500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN121977COMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Diseases Specialists of Colorado,LLC CurrentSince Aug 1, 2010 Accepting new patients
Anesthesia Management Services, LLC PastSince Nov 7, 2011 Accepting new patients

Locations

1600 N Grand Ave
Ste 440
Pueblo, CO 81003
Phone (719) 543-3500

Organizations & group practices 2

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700970142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 N GRAND AVE",
            "address_2": "SUITE 440",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "81003",
            "telephone_number": "719-543-3500",
            "fax_number": "719-543-3504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N GRAND AVE",
            "address_2": "SUITE 440",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "81003",
            "telephone_number": "719-543-3500",
            "fax_number": "719-543-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARVER-TORRES",
        "first_name": "BRENDA",
        "middle_name": "KAE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "RN121977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.