SANDRA L BROOKS ARNP NPI 1790783207

NPI Information

  • NPI: 1790783207
  • Provider Name: SANDRA L BROOKS, ARNP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 533 N NOVA RD STE 203
    ORMOND BEACH, FL
    ZIP 32174
  • Phone: (386) 672-7175

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NPI Details

Sandra L Brooks, ARNP is a psychiatric/mental health nurse practitioner in Ormond Beach, FL. Sandra L Brooks, ARNP NPI is 1790783207. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

533 N NOVA RD STE 203
ORMOND BEACH, FL
ZIP 32174-422
Phone: (386) 672-7175
Fax: (386) 672-0771

The enumeration date for this NPI number is 7/8/2005 and was last updated on 12/22/2016.

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
1363LP0808XNurse PractitionerPsychiatric/Mental Health2650922FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1Y4189MEDICARE PINFLORIDA
2S02080MEDICARE UPINFLORIDA
31790783207OTHERFLORIDAMEDICARE PTAN Y4188Y
4305058100MEDICAIDFLORIDA

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: 11/21/2025

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