MS. SHELLEY M BRAKE (NPI# 1154613313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154613313 |
Entity Type | Individual |
Full Name | MS. SHELLEY M BRAKE |
Credential | PA-C |
Practice Address |
1635 Aurora Ct 6th Floor Anschutz Outpatient Pavilion Aurora CO 80045-2541 |
Mailing Address |
Po Box 110429 Aurora CO 80042-0429 |
Practice Telephone | 7208484325 |
Mailing Telephone | 3034937000 |
Enumeration Date | 2011-05-06 |
Last Update Date | 2017-01-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA004880 | CO | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1635 AURORA CT 6TH FLOOR ANSCHUTZ OUTPATIENT PAVILION |
City | AURORA |
State | CO |
Zip Code | 80045-2541 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851380166 | Genevieve Mary Hofmann | Nurse Practitioner | 1635 Aurora Ct, 3rd Floor, Aurora, CO 80045-2541 | 2005-10-19 |
1316559941 | Neurosurgery One PC | Neurological Surgery | 1635 Aurora Ct, Aurora, CO 80045-2541 | 2020-08-17 |
1659982619 | Neurosurgery One PC | Neurological Surgery | 1635 Aurora Ct, Aurora, CO 80045-2541 | 2020-08-13 |
1407465669 | Kaitlin Christine Smith | Genetic Counselor, MS | 1635 Aurora Ct, Aurora, CO 80045-2541 | 2020-07-23 |
1467079426 | Hannah Elfman | Genetic Counselor, MS | 1635 Aurora Ct, Aurora, CO 80045-2541 | 2020-06-25 |
1417503319 | Whitney K Vuchetich | Nurse Practitioner | 1635 Aurora Ct, Aurora, CO 80045-2541 | 2019-08-15 |
1477113991 | Emmeline Corpus Academia | Pharmacist | 1635 Aurora Ct, Aurora, CO 80045-2541 | 2019-06-17 |
1619430071 | Claire Ingram | Physician Assistant | 1635 Aurora Ct, Room 6600 Ms F732, Aurora, CO 80045 | 2019-04-11 |
1821568411 | University Physicians Incorporated | Internal Medicine | 1635 Aurora Ct, Aop - 5th Floor, Aurora, CO 80045-2541 | 2018-11-27 |
1366919201 | Betty Rudisaile | Nurse Practitioner | 1635 Aurora Ct, Aurora, CO 80045-2541 | 2018-10-30 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942817408 | Salwa Mourtada Bamba | Nurse Practitioner | University of Colorado Medicine, 12631 East 17th Avenue, Aurora, CO 80045 | 2020-09-29 |
1114545233 | Chun Cheong Tsui | Student in an Organized Health Care Education/Training Program | 12801 E. 17th Avenue, Ms 8117, Aurora, CO 80045 | 2020-07-07 |
1487278719 | James Charles Tuka IIi | Social Worker | 1700 North Wheeling, Aurora, CO 80045 | 2020-06-02 |
1427677806 | Justin Yu | Student in an Organized Health Care Education/Training Program | 12631 E. 17th Ave. Ms B205, Aurora, CO 80045 | 2020-04-15 |
1558980011 | Erik Von Polsdofer | Student in an Organized Health Care Education/Training Program | Academic Office 1; Department of Pathology, 12631 East 17th Avenue, Aurora, CO 80045 | 2020-04-14 |
1831718568 | Luke Porter Bacon | Student in an Organized Health Care Education/Training Program | 3001 East 17th Place, Aurora, CO 80045 | 2020-04-13 |
1366061368 | Hilary Novatt | Student in an Organized Health Care Education/Training Program | 12631 E 17th Ave, B198-6, Room 4007, Aurora, CO 80045 | 2020-04-10 |
1376195362 | Katie Tuck | Pharmacist | 1700 North Wheeling Street (119), Fs-111o, Aurora, CO 80045 | 2019-07-10 |
1518529130 | Ronak Kamal Kapadia | Student in an Organized Health Care Education/Training Program | 12700 E. 19th Ave, Ms B182 Rm 5104, Aurora, CO 80045 | 2019-07-03 |
1245898253 | Rasha Elbadry Ahmed | Student in an Organized Health Care Education/Training Program | Childrens Hospital Colorado Pediatric Neurosurgery, 13123e. 16th Ave, B330, Aurora, CO 80045 | 2019-06-04 |
Find all providers in zip 80045 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326588732 | Elise Nicole Van Etten | Physician Assistant | 13123 E 16th Ave # 323, Anschutz Medical Campus, Aurora, CO 80045-7106 | 2017-03-03 |
1598185753 | Emmanuel Lobo | Physician Assistant | 857 Vaughn St., Aurora, CO 80011 | 2014-04-25 |
1366879330 | Harold Lisandro Mendoza Moreno | Physician Assistant | 2381 Lundquist Dr, Aurora, IL 60503-3635 | 2013-10-04 |
1629318472 | Ricardo F Gonzalez | Physician Assistant | 6998 S Riverwood Way, Aurora, CO 80016-2486 | 2013-02-14 |
1548538457 | Arapahoe Professional Surgical Assistants | Physician Assistant | 13918 E Mississippi Ave # 474, Aurora, CO 80012-3603 | 2011-12-06 |
1225284490 | Arenas Surgical Services | Physician Assistant | 1999 Ione Ln, Aurora, IL 60503-7826 | 2008-08-07 |
1689896557 | Mark Brian Hinton | Physician Assistant | 19884 E. Vassar Ave., Aurora, CO 80013 | 2007-05-02 |
1649305343 | Colorado Physician Surgical Asst Inc | Physician Assistant | 1673 S Flanders Way, Aurora, CO 80017-5509 | 2007-02-22 |
1033260963 | Patrick E Byrge | Physician Assistant | 21870 E Briarwood Dr, Suite #1321, Aurora, CO 80016-6034 | 2007-01-16 |
1255987772 | Jordan Francesca Macri | Physician Assistant | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2019-08-12 |
Find all providers in AURORA |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.