Individual provider Active NPI

Shaquana Suzan Brooks

  • Primary Care Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1124769617
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APRN11019064 Issued in FL
Practice address
10800 Dylan Loren Cir Ste 102
Orlando, FL 32825-4437
Phone
(407) 277-8665
NPI assigned
Apr 6, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Registered Nurse 163WG0100X APRN11019064 FL
Primary Care Nurse Practitioner 363LP2300X APRN11019064 FL Primary

Addresses

Primary practice location

10800 Dylan Loren Cir Ste 102
Orlando, FL 32825-4437

Mailing address

10800 Dylan Loren Cir Ste 102
Orlando, FL 32825-4437
Phone (407) 277-8665

Other practice location 1

339 Cypress Pkwy Ste 210
Kissimmee, FL 34759-3315
Phone (407) 785-6057

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20220625000367 FL Practitioner - Nurse Practitioner 1658750369 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Digestive Disease Consultants PAGroup PAC ID 3779554878, 14 clinicians

Practice addresses (Care Compare)

623 Maitland Ave
Altamonte SPG, FL 32701-6823
Phone (407) 830-8661

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
  • HCA Florida Poinciana Hospital Hospital, Kissimmee, FL, CCN 100320
  • Orlando Health Hospital, Orlando, FL, CCN 100006
  • Adventhealth Waterman Hospital, Tavares, FL, CCN 100057

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11019064FLMDGastroenterology Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Osceola Surgical Associates LLC CurrentSince Jul 14, 2025 Accepting new patients
Gastroenterology Consultants of Central Florida PA CurrentSince Oct 20, 2023 Accepting new patients
Digestive Disease Consultants PA Past Accepting new patients
Osceola Surgical Associates LLC Past Accepting new patients

Locations

339 Cypress Pkwy
Ste 210
Kissimmee, FL 34759
Phone (407) 343-1825

2450 N Orange Blossom Trl
Kissimmee, FL 34744
Phone (407) 846-4343

10800 Dylan Loren Cir
Ste 102
Orlando, FL 32825
Phone (407) 277-8665

339 Cypress Pkwy
Ste 180
Poinciana, FL 34759
Phone (407) 502-2300

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HHHABD
  • Direct secure messaging: shaquana.brooks@hca4.eclinicaldirectplus.com

Organizations & group practices 4

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1124769617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 DYLAN LOREN CIR STE 102",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328254437",
            "telephone_number": "407-277-8665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 DYLAN LOREN CIR STE 102",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328254437",
            "telephone_number": "407-277-8665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "339 Cypress Pkwy Ste 210",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347593315",
            "country_code": "US",
            "telephone_number": "407-785-6057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "SHAQUANA",
        "middle_name": "SUZAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-06",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gastroenterology",
            "state": "FL",
            "license": "APRN11019064",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN11019064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.