Brooke Frederick

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

326678 Issued in GA

Practice address

290 Sage Brush LN
Rossville, GA 30741-8375

Phone

(423) 402-1129

NPI assigned

Feb 16, 2021

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

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": "1613433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615593600000",
    "number": "1043803448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 SAGE BRUSH LN",
            "city": "ROSSVILLE",
            "state": "GA",
            "postal_code": "307418375",
            "telephone_number": "423-402-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 SAGE BRUSH LN",
            "city": "ROSSVILLE",
            "state": "GA",
            "postal_code": "307418375",
            "telephone_number": "423-402-1129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "BROOKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-16",
        "last_updated": "2021-03-13",
        "certification_date": "2021-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "GA",
            "license": "326678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leisha Harrell Espy, D.C.
• Mitchell Eton, FNP
• Donna Jean Fincher, CADCII
• Kelsey Fisher, PTA
• Sheri Dawn Fosse, LPTA
• Elizabeth M Galloway, CADCII
• Daniel Garrett
• Naomi Matsumura Gerep, ND
• Joselyn Ghulam, APN
• Hailley Michelle Gray

• Lactation Consultant (Non-RN) in Rossville, GA
• Providers in Rossville, GA by specialty
• Lactation Consultant (Non-RN) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2021; 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.