Individual provider Active NPI

Brooke Nicholson Phillips, AU.D.

  • Audiologist-Hearing Aid Fitter
  • Los Angeles, CA
National Provider Identifier
1073640223
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
HA 4156 Issued in CA
Practice address
2100 W 3Rd St
House Ear Institute Care Center
Los Angeles, CA 90057-1922
Phone
(213) 353-7005
Fax
(213) 483-3716
NPI assigned
Feb 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AU 2073 CA
Audiologist-Hearing Aid Fitter 237600000X HA 4156 CA Primary

Addresses

Primary practice location

2100 W 3Rd St
House Ear Institute Care Center
Los Angeles, CA 90057-1922

Mailing address

2604 Lake View Ter W
Los Angeles, CA 90039-2607

Other identifiers 1

IdentifierTypeStateIssuer
AU0020730MedicaidCA

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

LicenseStateTypeSpecialty
AU 2073CAMDAudiologist
HA 4156CAMDAudiologist-Hearing Aid Fitter

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1073640223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 LAKE VIEW TER W",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900392607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 W 3RD ST",
            "address_2": "HOUSE EAR INSTITUTE CARE CENTER",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900571922",
            "telephone_number": "213-353-7005",
            "fax_number": "213-483-3716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "BROOKE",
        "middle_name": "NICHOLSON",
        "name_prefix": "Mrs.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU 2073",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "HA 4156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AU0020730",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.

Verify at the official NPI Registry.