Individual provider Active NPI

Breanna Rae Juda, NP

  • Adult Health Nurse Practitioner
  • Aurora, CO
National Provider Identifier
1780127704
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APN.0992859-NP Issued in CO
Practice address
12605 E 16TH Ave
Aurora, CO 80045-2545
Phone
(720) 848-0000
NPI assigned
Nov 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APN.0992859-NP CO Primary
Family Nurse Practitioner 363LF0000X APN.0992859 CO

Addresses

Primary practice location

12605 E 16TH Ave
Aurora, CO 80045-2545

Mailing address

PO Box 110429
Aurora, CO 80042-0429

Other practice location 1

755 Heritage Rd Ste 100
Golden, CO 80401-3600
Phone (303) 468-7246

Other practice location 2

8200 E Belleview Ave Ste 600E
Greenwood Village, CO 80111-2898
Phone (303) 761-9190

Other practice location 3

10700 E Geddes Ave Ste 200
Englewood, CO 80112-3861
Phone (303) 761-9190

Other practice location 4

1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone (540) 981-7000

Other practice location 5

6895 E Hampden Ave
Denver, CO 80224-3047
Phone (303) 861-7878

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
I20180402002187 CO Practitioner - Nurse Practitioner 7416231964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Physicians IncorporatedGroup PAC ID 3476465667, 3,189 clinicians

Practice addresses (Care Compare)

12605 E 16TH Ave
Uchealth Anschutz Medical Campus
Aurora, CO 80045-2545
Phone (720) 848-0000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0992859-NPCOMDAdult Health Nurse Practitioner
APN.0992859COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians Incorporated CurrentSince Nov 1, 2023 Accepting new patients
Aleracare of Colorado, LLC CurrentSince Apr 15, 2022 Accepting new patients
University Physicians Incorporated Surgery Current Accepting new patients
University Physicians, Incorporated CurrentSince Nov 1, 2023 Accepting new patients
Radiology Imaging of Nebraska, LLC Past Accepting new patients

Locations

5350 E High St
Ste 300
Phoenix, AZ 85054
Phone (480) 716-5820

13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846

1550 S Potomac St
Ste 145
Aurora, CO 80012
Phone (480) 716-5820

12605 E 16th Ave
Aurora, CO 80045
Phone (720) 848-0006

1635 Aurora Ct
Fl 6
Aurora, CO 80045
Phone (720) 848-2650

2910 Beacon St
Ste 200
Colorado Springs, CO 80907
Phone (888) 238-9523

Dept 1061
Denver, CO 80256

750 W Hampden Ave
Ste 285
Englewood, CO 80110
Phone (888) 238-9523

1303 Fortino Blvd
Ste C
Pueblo, CO 81008
Phone (480) 716-5820

Interoperability endpoints

  • Direct secure messaging: breanna.juda@rmcc.ikm.direct-ci.com

Organizations & group practices 5

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 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1479772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1780127704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110429",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800420429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12605 E 16TH AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800452545",
            "telephone_number": "720-848-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "755 Heritage Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Golden",
            "state": "CO",
            "postal_code": "804013600",
            "country_code": "US",
            "telephone_number": "303-468-7246",
            "fax_number": "303-277-0714",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8200 E Belleview Ave Ste 600E",
            "address_purpose": "LOCATION",
            "city": "Greenwood Village",
            "state": "CO",
            "postal_code": "801112898",
            "country_code": "US",
            "telephone_number": "303-761-9190",
            "fax_number": "720-874-4462",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10700 E Geddes Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "CO",
            "postal_code": "801123861",
            "country_code": "US",
            "telephone_number": "303-761-9190",
            "fax_number": "720-874-4462",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1906 Belleview Ave SE",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240141838",
            "country_code": "US",
            "telephone_number": "540-981-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6895 E Hampden Ave",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802243047",
            "country_code": "US",
            "telephone_number": "303-861-7878",
            "fax_number": "303-894-8066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUDA",
        "first_name": "BREANNA",
        "middle_name": "RAE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-22",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CO",
            "license": "APN.0992859-NP",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0992859",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.