Active NPI
Shavonne Latrice Brooks Lindsay, RN
- Registered Nurse
- Essex, MD
National Provider Identifier
1124545900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- R214558
- Practice address
- 222 Marina View CT
Essex, MD 21221-7058 - Phone
- (443) 652-2444
- Fax
- (443) 652-2444
- NPI assigned
- Aug 23, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | R214558 | MD | |
| Registered Nurse | 163W00000X | R214558 | MD | Primary |
Addresses
Primary practice location
222 Marina View CT
Essex, MD 21221-7058
Mailing address
222 Marina View CT
Essex, MD 21221-7058
Phone (443) 652-2444
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R214558 | MD | MD | Case Management Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503532800000",
"number": "1124545900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 MARINA VIEW CT",
"city": "ESSEX",
"state": "MD",
"postal_code": "212217058",
"telephone_number": "443-652-2444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 MARINA VIEW CT",
"city": "ESSEX",
"state": "MD",
"postal_code": "212217058",
"telephone_number": "443-652-2444",
"fax_number": "443-652-2444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS LINDSAY",
"first_name": "SHAVONNE",
"middle_name": "LATRICE",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-23",
"last_updated": "2017-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "MD",
"license": "R214558",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MD",
"license": "R214558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Essex, MD
- Bright Future Community Health Care Services
- Bright Future Community Health Care Services
- Bright Future Community Health Care Services
- Bright Future Community Health Care Services
- Bright Future Community Health Cares Services
- Kevin Brooks, PT, DPT
- Justus Emmanuel Brown, DPT
- Kenya Brown, LCSW-C
- Sheila Kathy Brown, R.N.
- Tamara Buck
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.