Kelli Brooke Brooks, MSN, NNP-BC

Primary specialty

Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X

License

1031599 Issued in TX

Practice address

2830 Calder St
Beaumont, TX 77702-1809

Phone

(409) 892-7171

NPI assigned

Mar 5, 2021

Last updated

Mar 5, 2021By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing

State licenses

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

{
    "created_epoch": "1614902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614902400000",
    "number": "1043805575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 PINECREST DR",
            "city": "SILSBEE",
            "state": "TX",
            "postal_code": "776566209",
            "telephone_number": "409-673-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 CALDER ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021809",
            "telephone_number": "409-892-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "KELLI",
        "middle_name": "BROOKE",
        "credential": "MSN, NNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-05",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "TX",
            "license": "1031599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Mark Broaddus, M.D.
• Jenny Lee Broaddus, LPC-S
• Yolanda Denise Broadnax, CRNP
• Delanea Lynn Bronson, M.S. CCC-SLP
• Kendall Rene Brookins, ATC, LAT
• Brookshire Brothers Inc (Brookshire Brothers Pharmacy)
• Joseph Brottem, Crna
• Broussard Eye Associates, LLLP
• Broussard Family Chiropractic, P.a.
• Broussard Family Practice, PLLC

• Neonatal-Perinatal Medicine Physician in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Neonatal-Perinatal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.