Active NPI
Breanna Rae Roscow, M.S.
- Genetic Counselor (M.S.)
- Boulder, CO
National Provider Identifier
1770990103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Genetic Counselor (M.S.)
- Practice address
- 4715 Arapahoe Ave
Boulder, CO 80303-1385 - Phone
- (303) 385-2000
- Fax
- (303) 444-1839
- NPI assigned
- Jul 17, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Genetic Counselor (M.S.) | 170300000X | Primary |
Addresses
Primary practice location
4715 Arapahoe Ave
Boulder, CO 80303-1385
Mailing address
7951 E Maplewood Ave Ste 300
Greenwood Village, CO 80111-4726
Phone (303) 930-7800
Other names 1
- Ms. Breanna Rae Miller
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
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449100800000",
"number": "1770990103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7951 E MAPLEWOOD AVE STE 300",
"city": "GREENWOOD VILLAGE",
"state": "CO",
"postal_code": "801114726",
"telephone_number": "303-930-7800",
"fax_number": "303-930-5503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4715 ARAPAHOE AVE",
"city": "BOULDER",
"state": "CO",
"postal_code": "803031385",
"telephone_number": "303-385-2000",
"fax_number": "303-444-1839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSCOW",
"first_name": "BREANNA",
"middle_name": "RAE",
"name_prefix": "Mrs.",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-17",
"last_updated": "2015-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "170300000X",
"taxonomy_group": "",
"desc": "Genetic Counselor, MS",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BREANNA",
"last_name": "MILLER",
"middle_name": "RAE",
"prefix": "MS.",
"credential": "M.S.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.