Active NPI
Kristen Brooks, LAT, ATC
- Athletic Trainer
- Tampa, FL
National Provider Identifier
1073496204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AL6970
- Practice address
- 4525 Tuscan Loon Dr
Tampa, FL 33619-0803 - Phone
- (845) 428-0012
- NPI assigned
- Jul 28, 2025
- Last updated
- Jul 28, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AL6970 | FL | Primary |
Addresses
Primary practice location
4525 Tuscan Loon Dr
Tampa, FL 33619-0803
Mailing address
4525 Tuscan Loon Dr
Tampa, FL 33619-0803
Phone (845) 428-0012
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AL6970 | FL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753660800000",
"number": "1073496204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4525 TUSCAN LOON DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336190803",
"telephone_number": "845-428-0012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4525 TUSCAN LOON DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336190803",
"telephone_number": "845-428-0012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "KRISTEN",
"credential": "LAT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-28",
"last_updated": "2025-07-28",
"certification_date": "2025-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "FL",
"license": "AL6970",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.