Lisa Brooks, LPN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

262485-30 Issued in WI

Practice address

W20410 State Road 121
Whitehall, WI 54773-9147

Phone

(715) 538-4312

Fax

(715) 538-9131

NPI assigned

Aug 16, 2021

Last updated

Oct 15, 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 2

Addresses

Other identifiers 1

Electronic endpoints 2

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": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1043985534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W20410 STATE ROAD 121",
            "city": "WHITEHALL",
            "state": "WI",
            "postal_code": "547739147",
            "telephone_number": "715-538-4312",
            "fax_number": "715-538-9131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W20410 STATE ROAD 121",
            "city": "WHITEHALL",
            "state": "WI",
            "postal_code": "547739147",
            "telephone_number": "715-538-4312",
            "fax_number": "715-538-9131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "LISA",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-16",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "262485-30",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "326232",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Whitehall",
            "affiliation": "N",
            "address_1": "W20410 State Road 121",
            "city": "Whitehall",
            "state": "WI",
            "country_code": "US",
            "postal_code": "547739147",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Whitehall",
            "affiliation": "N",
            "endpointDescription": ".",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Whitehall",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Whitehall",
            "address_1": "W20410 State Road 121",
            "city": "Whitehall",
            "state": "WI",
            "country_code": "US",
            "postal_code": "547739147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kristine Benusa, R.D.
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• Briana M Braunschweig, DPT
• Kimberly Breidenbach, MD
• Robert Burge, PTA
• Curtis C Carlson, P.T.
• Loren Ray Carrell, PHARM.D.
• Jane Comstock
• County of Trempealeau (TCHCC Farnam)

• Registered Nurse in Whitehall, WI
• Providers in Whitehall, WI by specialty
• Registered Nurse in Wisconsin

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