Brooklynde Parks Garrison, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2022062086 Issued in TX

Practice address

1000 E Williams St
Breckenridge, TX 76424-4624

Phone

(254) 559-0281

NPI assigned

Nov 14, 2022

Last updated

Nov 14, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1013625631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E WILLIAMS ST",
            "city": "BRECKENRIDGE",
            "state": "TX",
            "postal_code": "764244624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E WILLIAMS ST",
            "city": "BRECKENRIDGE",
            "state": "TX",
            "postal_code": "764244624",
            "telephone_number": "254-559-0281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRISON",
        "first_name": "BROOKLYNDE",
        "middle_name": "PARKS",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-14",
        "last_updated": "2022-11-14",
        "certification_date": "2022-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "2022062086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brooklynde@rhainemedicalspa.com",
            "affiliation": "N",
            "address_1": "1000 E Williams St",
            "city": "Breckenridge",
            "state": "TX",
            "country_code": "US",
            "postal_code": "764244624",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Rhainemedspa.com",
            "affiliation": "N",
            "address_1": "1000 E Williams St",
            "city": "Breckenridge",
            "state": "TX",
            "country_code": "US",
            "postal_code": "764244624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rebbekah Davis
• Aaron Sam Dickinson, PTA
• Lauren Dye
• Nancy A Edens, PA
• Susan Fergeson, SLP
• Tracey Gilman, CCC-SLP
• Judith Gracia Graves, M.D.
• Haddax Pediatric Language Center
• Brianna Halford, PT, DPT, ATC
• Robert Lee Hare, FNP-C

• Family Nurse Practitioner in Breckenridge, TX
• Providers in Breckenridge, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.