Brooke Wilkinson, CPNP-PC, RN

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

F382818 Issued in NY

Practice address

120 Haven Ave Apt 25
New York, NY 10032-2638

Phone

(530) 848-0583

NPI assigned

Jun 4, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

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

{
    "created_epoch": "1496534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1093244030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 HAVEN AVE APT 25",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100322638",
            "telephone_number": "530-848-0583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 HAVEN AVE APT 25",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100322638",
            "telephone_number": "530-848-0583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINSON",
        "first_name": "BROOKE",
        "credential": "CPNP-PC, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "NY",
            "license": "723746-1",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "F382818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regina Wilkins, NURSE PRACTITIONER
• Robert Wilkins, MD
• Sarah Elizabeth Wilkins, PSYD
• Shane Wilkins, PA-C
• Tikina Wilkins
• Cameron Wilkinson
• Isabelle Louise Wilkinson
• Jack Wilkinson
• Lua J Wilkinson, MA, RD
• Rachel Ann Wilkinson, MD

• Pediatrics Physician in New York, NY
• Providers in New York, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.