Sally Brooks, APRN, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

208579 Issued in LA

Practice address

2106 Loop Rd
Winnsboro, LA 71295-3344

Phone

(318) 435-9411

NPI assigned

Sep 14, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Franklin Parish Hospital Service Dist 1

  dba Franklin Medical Center

  • Rural Acute Care Hospital
  • Winnsboro, LA
  • NPI 1619143120
  Medicare reassignment NPD
• Franklin Parish Hospital Service Dist 1

  dba Gilbert Health Center

  • Rural Health Clinic/Center
  • Gilbert, LA
  • NPI 1669002002
  NPD
• Franklin Parish Hospital Service Dist 1

  dba Franklin Medical Center

  • Rural Acute Care Hospital
  • Winnsboro, LA
  • NPI 1356399539
  NPD (past)

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

{
    "created_epoch": "1568419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568419200000",
    "number": "1104476829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 LOOP RD",
            "city": "WINNSBORO",
            "state": "LA",
            "postal_code": "712953344",
            "telephone_number": "318-435-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 LOOP RD",
            "city": "WINNSBORO",
            "state": "LA",
            "postal_code": "712953344",
            "telephone_number": "318-435-9411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "SALLY",
        "name_prefix": "Mrs.",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-14",
        "last_updated": "2019-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "208579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachael Bond
• Christian Bonner, MD
• Brass Medical Transportation LLC
• Racine Bridges
• Robert C. Brooks, D.D.S.
• Ann Braswell Brown, LPC-S
• Lawana Brown, LCSW
• Mary Brown
• Noland Allen Bullen, DPT
• Albert Charles Burns Jr., O.D.

• Psychiatric/Mental Health Nurse Practitioner in Winnsboro, LA
• Providers in Winnsboro, LA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.