Brooke Erin Douglas, CPNP-PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

201810523 Issued in CO

Practice address

356 S McCulloch Blvd Ste 106
Pueblo, CO 81007-2848

Phone

(719) 569-5989

Fax

(833) 941-1671

NPI assigned

Nov 3, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brooke.douglas.1@29066.direct.athenahealth.com
• Direct secure messaging: brooke.douglas.1@18256.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/18256/brand/1/csg/1/fhir/r4

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.

• Pediatric Telehealth of Colorado Inc

  • Pediatric Nurse Practitioner
  • Pueblo, CO
  • NPI 1083312912

  Pediatrics

  NPD Authorized official
• Small World Pediatrics LLC

  • Pediatrics Physician
  • Pueblo, CO
  • NPI 1619059722
  NPD (past)

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

{
    "created_epoch": "1541203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1972071306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 S CAYUGA DR",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810071935",
            "telephone_number": "719-251-2186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 S MCCULLOCH BLVD STE 106",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810072848",
            "telephone_number": "719-569-5989",
            "fax_number": "833-941-1671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "BROOKE",
        "middle_name": "ERIN",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-03",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CO",
            "license": "201810523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joe Donohue-Torres, MD
• Kristie Dorwart, LPC
• Amber Doss, APN
• Priscilla Dostal
• Douglas Jones
• Kevin Douglas
• Laura Douglas
• Down to Earth Dental
• Vanessa Marie Downard, B.S
• Travis Downen, PT, DPT

• Pediatric Nurse Practitioner in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Pediatric Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.