Individual provider Active NPI

Vicki D Brooks, NP

  • Family Nurse Practitioner
  • Mineral Wells, TX
National Provider Identifier
1063469559
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
604324 Issued in TX
Practice address
214 SW 26TH Ave
Suite D
Mineral Wells, TX 76067-8249
Phone
(940) 325-9485
Fax
(940) 325-4325
NPI assigned
May 28, 2006
Last updated
Mar 24, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 604324 TX Primary
Primary Care Nurse Practitioner 363LP2300X 604324 TX

Addresses

Primary practice location

214 SW 26TH Ave
Suite D
Mineral Wells, TX 76067-8249

Mailing address

214 SW 26TH Ave
Suite D
Mineral Wells, TX 76067-8249
Phone (940) 325-9485

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040129001211 TX Practitioner - Nurse Practitioner 4183534753

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gupta DO and Associates LLCGroup PAC ID 6305879677, 8 clinicians

Practice addresses (Care Compare)

821 E Interstate 20
Weatherford, TX 76086-6745

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lsingh MD PA Past Accepting new patients
Alice L. Ramsey M.D. PastSince Mar 27, 2016 Accepting new patients
David B. Ramsey, M.D., P.a. PastSince May 30, 2017 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458777600000",
    "number": "1063469559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 SW 26TH AVE",
            "address_2": "SUITE D",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760678249",
            "telephone_number": "940-325-9485",
            "fax_number": "940-325-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 SW 26TH AVE",
            "address_2": "SUITE D",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760678249",
            "telephone_number": "940-325-9485",
            "fax_number": "940-325-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "VICKI",
        "middle_name": "D",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-28",
        "last_updated": "2016-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "604324",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "604324",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineral Wells, TX

Sources for this page

Verify at the official NPI Registry.