SANDRA L BROOKS ARNP NPI 1790783207

NPI Information

NPI: 1790783207
Provider Name: SANDRA L BROOKS, ARNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
533 N NOVA RD STE 203
ORMOND BEACH, FL
ZIP 32174
Phone: (386) 672-7175
Get Directions

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 NPI 1790783207 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 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
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	2650922	FLORIDA	Yes

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
1	Y4189	MEDICARE PIN	FLORIDA
2	S02080	MEDICARE UPIN	FLORIDA
3	1790783207	OTHER	FLORIDA	MEDICARE PTAN Y4188Y
4	305058100	MEDICAID	FLORIDA

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: 4/28/2024

NPI Synchronization or Removal

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