Individual provider Active NPI

Irene Riley Brooksher, MS, LAT, ATC

  • Athletic Trainer
  • Houston, TX
National Provider Identifier
1033741285
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT9190 Issued in TX
Practice address
3663 Washington Ave Apt 5005
Houston, TX 77007-6476
Phone
(225) 773-4896
NPI assigned
Feb 5, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 327841 LA
Athletic Trainer 2255A2300X AT9190 TX Primary

Addresses

Primary practice location

3663 Washington Ave Apt 5005
Houston, TX 77007-6476

Mailing address

3663 Washington Ave Apt 5005
Houston, TX 77007-6476
Phone (225) 773-4896

Other practice location 1

1645 Applewood Rd
Baton Rouge, LA 70808-5910
Phone (225) 773-4896

Other names 1

  • Riley Brooksher Professional name

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
327841LAMDAthletic Trainer
AT9190TXMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1033741285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3663 WASHINGTON AVE APT 5005",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770076476",
            "telephone_number": "225-773-4896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3663 WASHINGTON AVE APT 5005",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770076476",
            "telephone_number": "225-773-4896"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1645 Applewood Rd",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708085910",
            "country_code": "US",
            "telephone_number": "225-773-4896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKSHER",
        "first_name": "IRENE",
        "middle_name": "RILEY",
        "credential": "MS, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-05",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "LA",
            "license": "327841",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT9190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RILEY",
            "last_name": "BROOKSHER",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.