Individual provider Active NPI

Amy Lou Brouwer, ANP

  • Adult Health Nurse Practitioner
  • Centennial, CO
National Provider Identifier
1770633174
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
63985 Issued in CO
Practice address
6465 Greenwood Plaza Blvd
Suite 300
Centennial, CO 80111-4905
Phone
(303) 267-3596
Fax
(303) 267-3172
NPI assigned
Jan 11, 2007
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
Adult Health Nurse Practitioner 363LA2200X 63985 CO Primary

Addresses

Primary practice location

6465 Greenwood Plaza Blvd
Suite 300
Centennial, CO 80111-4905

Mailing address

2328 S Yukon CT
Lakewood, CO 80227-3236
Phone (303) 718-2949

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
63985COMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770633174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2328 S YUKON CT",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802273236",
            "telephone_number": "303-718-2949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6465 GREENWOOD PLAZA BLVD",
            "address_2": "SUITE 300",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801114905",
            "telephone_number": "303-267-3596",
            "fax_number": "303-267-3172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUWER",
        "first_name": "AMY",
        "middle_name": "LOU",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CO",
            "license": "63985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jul 8, 2007; 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.