Individual provider Active NPI

Natalie Brooks

  • Psychiatric/Mental Health Nurse Practitioner
  • Arlington, VA
National Provider Identifier
1144464652
Registry record updated Sep 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024178070 Issued in VA
Practice address
4600 Fairfax Dr Ste 412
Arlington, VA 22203-1553
Phone
(703) 812-4642
NPI assigned
Apr 28, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024178070 VA Primary

Addresses

Primary practice location

4600 Fairfax Dr Ste 412
Arlington, VA 22203-1553

Mailing address

4600 Fairfax Dr Ste 412
Arlington, VA 22203-1553

Other practice location 1

4520 E West Hwy Ste 775
Bethesda, MD 20814-3319
Phone (703) 812-4642

Other identifiers 1

IdentifierTypeStateIssuer
0024178070OtherVALICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, MD3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20210510000056 DC Practitioner - Nurse Practitioner 3870902513 Reassigns benefits to 1 organization
I20210610001974 VA Practitioner - Nurse Practitioner 3870902513 Reassigns benefits to 1 organization
I20230620002284 MD Practitioner - Nurse Practitioner 3870902513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Georgetown University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psych Associates of Maryland LLCGroup PAC ID 3971550963, 151 clinicians

Practice addresses (Care Compare)

732 S Charles St
Suite 104
Baltimore, MD 21230-3836
Phone (443) 203-1807

7700 E Parham Rd
Richmond, VA 23294-4301
Phone (703) 812-4642

801 N Quincy St
Suite 601
Arlington, VA 22203-1729
Phone (410) 823-6408

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hale Kipa, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: bloomhealthcenters.nataliebrooks@131200.advancedmd-direct.com
  • Direct secure messaging: natalie.brooks.1@29379.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1144464652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 FAIRFAX DR STE 412",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222031553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 FAIRFAX DR STE 412",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222031553",
            "telephone_number": "703-812-4642"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4520 E West Hwy Ste 775",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208143319",
            "country_code": "US",
            "telephone_number": "703-812-4642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "NATALIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-28",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024178070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "0024178070",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.