Tammy Brooks

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

512 4TH St NE
Devils Lake, ND 58301-2597

Phone

(701) 662-6767

NPI assigned

Mar 15, 2023

Last updated

Mar 15, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Lake Region Community Shelter

  • Case Management Agency
  • Devils Lake, ND
  • NPI 1114673878
  NPD

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

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1043911159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 14TH ST NW",
            "city": "DEVILS LAKE",
            "state": "ND",
            "postal_code": "583014205",
            "telephone_number": "701-381-8273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 4TH ST NE",
            "city": "DEVILS LAKE",
            "state": "ND",
            "postal_code": "583012597",
            "telephone_number": "701-662-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "TAMMY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-15",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "ND",
            "license": "BRO-70-1129",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "amachimentoring@yahoo.com",
            "affiliation": "N",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "amachimentoring@yahoo.com",
            "address_1": "512 4th St NE",
            "city": "Devils Lake",
            "state": "ND",
            "country_code": "US",
            "postal_code": "583012597",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tesha Lynn Brehm
• Brekhus Wellness, PLLC (Prime Therapy and Wellness)
• Madisyn Lou Brekke I
• Brenna Joy Dietitian, LLC
• Kristin Ann Brodell
• Alexis Nicole Brown
• Heidi Brown, SLP
• Gerianne Brunelle
• Tracy Kay Buckmeier
• Blaine Landon Burdick, O.D.

• Peer Specialist in Devils Lake, ND
• Providers in Devils Lake, ND by specialty
• Peer Specialist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; 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.