Tarisha Malosha Brooks
Individual provider Active NPI Driver · Cumberland, VA
NPI 1063110146 · NPPES record last updated Feb 20, 2023
Key facts
- NPI
- 1063110146
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- License
- T67538691 (VA)
- Practice address
- 1988 Anderson Hwy
Cumberland, VA 23040-2526 - Phone
- (434) 607-3563
- NPI assigned
- Feb 20, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T67538691 | VA | MD | Driver |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Open Arms Transport Services LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | T67538691 | ||
| Driver | 172A00000X | T67538691 | VA | Yes |
Addresses
Primary practice location
1988 Anderson Hwy
Cumberland, VA 23040-2526
Mailing address
1988 Anderson Hwy
Cumberland, VA 23040-2526
Phone (434) 607-3563
Other providers in Cumberland, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.