STACEY BRAKE NP NPI 1336716299

NPI Information

NPI: 1336716299
Provider Name: STACEY BRAKE, NP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Organization: PHYSICIAN HOUSECALLS LLC

PECOS Registration: Yes

Address:
7999 S FULTONDALE WAY
AURORA, CO
ZIP 80016
Phone: (303) 512-3690
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Stacey Brake, NP is an adult health nurse practitioner in Aurora, CO with 4 years of experience. Stacey Brake, NP NPI is 1336716299. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduation Year:2020

The provider's business location address is:

7999 S FULTONDALE WAY
AURORA, CO
ZIP 80016-442
Phone: (303) 512-3690

The NPI 1336716299 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/9/2021 and was last updated on 6/9/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	0996402	COLORADO	Yes
2	363LG0600X	Nurse Practitioner	Gerontology	0996402	COLORADO	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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