Juanita Brooks, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

2-044141 Issued in AL

Practice address

2900 Spring Hill Ave
Mobile, AL 36607-1822

Phone

(251) 287-8420

Fax

(251) 287-8478

NPI assigned

Jul 18, 2014

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mercy Life of Alabama

  • PACE Provider Organization
  • Mobile, AL
  • NPI 1952609059
  NPD (past)

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

{
    "created_epoch": "1405641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405641600000",
    "number": "1124435482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 SPRING HILL AVE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366071822",
            "telephone_number": "251-287-8420",
            "fax_number": "251-287-8478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 SPRING HILL AVE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366071822",
            "telephone_number": "251-287-8420",
            "fax_number": "251-287-8478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "JUANITA",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-18",
        "last_updated": "2014-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AL",
            "license": "2-044141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Maryanna Brooke, PHARM.D.
• Bradley Brooks, D.O.
• Brianna Brooks
• Donovan Dewayne Brooks, PT
• Hannah Elizabeth Brooks, MD
• Kurt D. Brooks, CRSS
• Ronald Miller Brooks, M.D.
• Ryan James Clive Brooks
• William Bogan Brooks III, M.D.
• Brandi Broome

• Licensed Practical Nurse in Mobile, AL
• Providers in Mobile, AL by specialty
• Licensed Practical Nurse in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2014; 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.