Individual provider Active NPI

Linda Lee Tenbroeck-Brown, MS, CRSW

  • Prevention Professional
  • North Hampton, NH
National Provider Identifier
1033672902
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prevention ProfessionalTaxonomy code 405300000X
License
0067 Issued in NH
Practice address
6 Appledore Ave
North Hampton, NH 03862-2303
Phone
(603) 918-1858
NPI assigned
Apr 9, 2019
Last updated
Dec 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prevention Professional 405300000X 0067 NH Primary

Addresses

Primary practice location

6 Appledore Ave
North Hampton, NH 03862-2303

Mailing address

6 Appledore Ave
North Hampton, NH 03862-2303
Phone (603) 918-1858

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL SeasideSerenityASR Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0067NHMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Seaside Serenity Addiction Support & Referral CurrentSince Dec 16, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1554768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1033672902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 APPLEDORE AVE",
            "city": "NORTH HAMPTON",
            "state": "NH",
            "postal_code": "038622303",
            "telephone_number": "603-918-1858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 APPLEDORE AVE",
            "city": "NORTH HAMPTON",
            "state": "NH",
            "postal_code": "038622303",
            "telephone_number": "603-918-1858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENBROECK-BROWN",
        "first_name": "LINDA",
        "middle_name": "LEE",
        "credential": "MS, CRSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-09",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "NH",
            "license": "0067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SeasideSerenityASR",
            "affiliation": "N",
            "endpointDescription": "Business",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6 Appledore Ave",
            "city": "North Hampton",
            "state": "NH",
            "country_code": "US",
            "postal_code": "038622303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Hampton, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; 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.