Individual provider Active NPI

Fariba Brady

  • Family Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1891301800
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0995848 Issued in CO
Practice address
2141 Academy Cir Ste 103
Colorado Springs, CO 80909-1672
Phone
(973) 914-0030
NPI assigned
Sep 16, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1667797 CO
Family Nurse Practitioner 363LF0000X APN.0995848 CO Primary

Addresses

Primary practice location

2141 Academy Cir Ste 103
Colorado Springs, CO 80909-1672

Mailing address

2141 Academy Cir Ste 103
Colorado Springs, CO 80909-1672
Phone (973) 914-0030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201120000344 CO Practitioner - Nurse Practitioner 1557772613 Reassigns benefits to 3 organizations
I20231004001239 CO Practitioner - Nurse Practitioner 1557772613 Reassigns benefits to 1 organization
Practice locations: Colorado Springs, CO

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2141 Academy Cir
Suite 103
Colorado Springs, CO 80909-1672

Hospital & facility affiliations

  • Keefe Memorial Hospital Hospital, Cheyenne Wells, CO, CCN 061343

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1667797COMDRegistered Nurse
APN.0995848COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healogics Specialty Physicians of Colorado-Professional, LLC CurrentSince Jan 1, 2023 Accepting new patients
Healogics Specialty Physicians of Colorado-Professional, LLC CurrentSince Jan 1, 2023 Accepting new patients
Total Care Family Center CurrentSince Sep 26, 2022 Accepting new patients

Locations

2141 Academy Cir
Ste 103
Colorado Springs, CO 80909
Phone (973) 914-0030

2222 N Nevada Ave
Colorado Springs, CO 80907
Phone (719) 776-5333

9399 Crown Crest Blvd
Ste 430
Parker, CO 80138
Phone (303) 269-2310

Organizations & group practices 3

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 1

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": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1891301800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2141 ACADEMY CIR STE 103",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091672",
            "telephone_number": "973-914-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 ACADEMY CIR STE 103",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091672",
            "telephone_number": "973-914-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "FARIBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-16",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "1667797",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0995848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.