Brooke Child

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

10968099-4405 Issued in UT

Practice address

526 W 1360 N
Tooele, UT 84074-1892

Phone

(801) 631-0720

NPI assigned

Jun 4, 2025

Last updated

Mar 16, 2026By the provider in NPPES

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 UT

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

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Utah Endocrinology Associates PLLCGroup PAC ID 0042399172, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Utah Endocrinology Associates PLLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Salt Lake City, UT
  • NPI 1417121609
  Medicare reassignment Care Compare group NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  Nurse Practitioner, UT

  Medicare reassignment NPD
• Aleracare of Utah Inc

  • Multi-Specialty Clinic/Center
  • Layton, UT
  • NPI 1093399669
  NPD (past)
• Tanner Memorial Clinic

  • Internal Medicine Physician
  • Layton, UT
  • NPI 1447239355
  NPD (past)

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

{
    "created_epoch": "1748995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1124912332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 W 1360 N",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840741892",
            "telephone_number": "801-631-0720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 W 1360 N",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840741892",
            "telephone_number": "801-631-0720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILD",
        "first_name": "BROOKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-04",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "10968099-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norhan Aziz Chacopulos
• Chelsie M Chadwick Haynes
• Tami Chavez
• Shane Cheney, RRT
• Amanda C Chervenick, CCM
• Melinda Choate, PA-C
• Daniel Christensen
• Colton Christiansen
• Abigail Clawson
• Bryce Cameron Clayton, ACMHC

• Family Nurse Practitioner in Tooele, UT
• Providers in Tooele, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; 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.

Verify at the official NPI Registry.