BRANDI NICOLE BURBANK (NPI# 1811403488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811403488 |
| Entity Type | Individual |
| Full Name | BRANDI NICOLE BURBANK |
| Credential | LPN |
| Practice Address |
1300 N 17th Ave Greeley CO 80631-9584 |
| Practice Telephone | 9703472120 |
| Mailing Telephone | 9703472120 |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2017-12-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | PN.0331704 | CO | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | UNITED HEATHCARE | 912145784 | 01 |
| Street Address |
1300 N 17TH AVE |
| City | GREELEY |
| State | CO |
| Zip Code | 80631-9584 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669431524 | North Range Behavioral Health | Public Health or Welfare | 1300 N 17th Ave, Greeley, CO 80631 | 2006-03-20 |
| 1568063386 | Hannah Maureen Dauven | Registered Nurse | 1300 N 17th Ave, Greeley, CO 80631-9584 | 2020-11-06 |
| 1447851373 | Mark Brothe | Counselor | 1300 N 17th Ave, Greeley, CO 80631-9584 | 2020-11-06 |
| 1497356976 | Jordyn Marie Sewald-evans | Peer Specialist | 1300 N 17th Ave, Greeley, CO 80631-9584 | 2020-11-03 |
| 1063012680 | Haleigh Cameron | Counselor | 1300 N 17th Ave, Greeley, CO 80631-9584 | 2020-11-01 |
| 1871193532 | Erica Oconnell | Counselor | 1300 N 17th Ave, Greeley, CO 80631-9584 | 2020-10-30 |
| 1508465360 | Heather Marie Wilson | Peer Specialist | 1300 N 17th Ave, Greeley, CO 80631-9584 | 2020-10-22 |
| 1558960435 | Paulina Lois Nollett | Community Health Worker | 1300 N 17th Ave, Greeley, CO 80631-9584 | 2020-10-21 |
| 1376141747 | Amy Michele Jackson | Community Health Worker | 1300 N 17th Ave, Greeley, CO 80631-9584 | 2020-10-16 |
| 1972100899 | Sam Davis | Community Health Worker | 1300 N 17th Ave, Greeley, CO 80631-9584 | 2020-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497395743 | Marcia Martinez | Peer Specialist | 1700 N 17th Ave, Greeley, CO 80631 | 2020-01-14 |
| 1073083036 | Ryan Lawhead | Specialist/Technologist | 270 Alles Dr. D, Butler Hancock Athletic Center, Greeley, CO 80631 | 2018-12-03 |
| 1447766647 | Patricia G Ferguson | Counselor | 14272 Wcr 72, Greeley, CO 80631 | 2017-12-26 |
| 1760902662 | Robert Anthony Rexroad | Counselor | 1300 N. 17th Avenue, Greeley, CO 80631 | 2017-06-21 |
| 1326577750 | Danielle Rodriguez | Psychologist | 1300 N. 17th Ave, Greeley, CO 80631 | 2017-06-08 |
| 1790157865 | Safeway | Pharmacy | 3526 W 10th Street, Greeley, CO 80631 | 2015-10-28 |
| 1245574508 | Jayme L Clapp | Counselor | 1407 8th Ave, Greeley, CO 80631 | 2012-11-26 |
| 1114246006 | Cynthia Melissa Gitler | Emergency Medicine | Banner Health, North Colorado Medical Center, 1601 18th Street, Greenley, CO 80631 | 2010-05-18 |
| 1942438023 | Khoi Dinh Le | Surgery | 1800 15th St., Suite 200, Greeley, CO 80631 | 2009-06-26 |
| 1174760011 | Darwin James Hargrave | Counselor | 912 9th Ave., #222, Greeley, CO 80631 | 2009-01-14 |
| Find all providers in zip 80631 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942718887 | Katherine Suzanne Kulp | Licensed Practical Nurse | 1300 N 17th Ave # 80631, Greeley, CO 80631-9584 | 2018-01-12 |
| 1952916066 | Tommie M Rosales | Licensed Practical Nurse | 3400 W 16th St Ste P, Greeley, CO 80634-6871 | 2020-09-15 |
| 1851901342 | Karl Liles | Licensed Practical Nurse | 1300 N 17th Ave, Greeley, CO 80631-9584 | 2020-08-09 |
| 1952927436 | Kyra Shantel Cuevas | Licensed Practical Nurse | 1300 N 17th Ave, Greeley, CO 80631-9584 | 2020-06-22 |
| 1316572779 | Stephanie Lynn Brown | Licensed Practical Nurse | 1300 N 17th Ave, Greeley, CO 80631-9584 | 2020-03-05 |
| 1780231977 | Laurie L Bolen | Licensed Practical Nurse | 1300 N 17th Ave, Greeley, CO 80631-9584 | 2019-08-22 |
| 1942868559 | Merisa Armstrong | Licensed Practical Nurse | 1300 N 17th Ave, Greeley, CO 80631-9584 | 2019-05-30 |
| 1790244283 | Lindsey Schoelzel | Licensed Practical Nurse | 1300 N 17th Ave, Greeley, CO 80631-9584 | 2019-03-14 |
| 1992208474 | Katherine Annie Wyant Noud | Licensed Practical Nurse | 1300 N 17th Ave, Greeley, CO 80631-9584 | 2018-03-12 |
| 1629579818 | Denise Annette Gross | Licensed Practical Nurse | 1140 M St, Greeley, CO 80631-9586 | 2018-02-23 |
| Find all providers in GREELEY | ||||
Please comment or provide details below to improve the information on BRANDI NICOLE BURBANK.
| 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.