Active NPI
Shaquana Suzan Brooks
- Primary Care Nurse Practitioner
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- APRN11019064
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
623 Maitland Ave
Altamonte SPG, FL 32701-6823
Phone (407) 830-8661
Hospital & facility affiliations
- Adventhealth Orlando
- HCA Florida Poinciana Hospital
- Orlando Health
- Adventhealth Waterman
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11019064 | FL | MD | Gastroenterology Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osceola Surgical Associates LLC | Current | Accepting new patients | |
| Gastroenterology Consultants of Central Florida PA | Current | 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
- https://fhir4.healow.com/fhir/r4/HHHABD
- 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.
-
- Gastroenterology Physician
- Altamonte Springs, FL
- NPI 1528045002
-
- Gastroenterology Physician
- Orlando, FL
- NPI 1083603625
-
- Surgery Physician
- Kissimmee, FL
- NPI 1578723540
-
- Surgery Physician
- Kissimmee, FL
- NPI 1700043585
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
-
- General Acute Care Hospital
- Tavares, FL
- NPI 1821019571
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
-
- General Acute Care Hospital
- Kissimmee, FL
- NPI 1912246786
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.