Individual provider Active NPI

Cora Jean Brodnax, RN-APN

  • Adult Psychiatric/Mental Health Registered Nurse
  • Denver, CO
National Provider Identifier
1922130871
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
License
37631 Issued in OH
Practice address
2100 Broadway
Colorado Coalition for the Homeless
Denver, CO 80205-2526
Phone
(303) 296-4996
Fax
(303) 296-4436
NPI assigned
Mar 9, 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 Psychiatric/Mental Health Registered Nurse 163WP0809X 37631 OH Primary

Addresses

Primary practice location

2100 Broadway
Colorado Coalition for the Homeless
Denver, CO 80205-2526

Mailing address

933 Pontiac St
Denver, CO 80220-4827
Phone (303) 320-0675

Other identifiers 1

IdentifierTypeStateIssuer
37631OtherCOCOLORADO NURSING REGIST.

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
37631OHMDAdult Psychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922130871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 PONTIAC ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802204827",
            "telephone_number": "303-320-0675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 BROADWAY",
            "address_2": "COLORADO COALITION FOR THE HOMELESS",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802052526",
            "telephone_number": "303-296-4996",
            "fax_number": "303-296-4436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODNAX",
        "first_name": "CORA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "RN-APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "OH",
            "license": "37631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO NURSING REGIST.",
            "identifier": "37631",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, 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.