Individual provider Active NPI

Brooke Celeste Allen, PRACTICAL NURSE

  • Clinic/Center
  • New Orleans, LA
National Provider Identifier
1144687823
Registry record updated Jan 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
721469692 Issued in LA
Practice address
2740 Iberville St
New Orleans, LA 70119-5516
Phone
(504) 821-8184
Fax
(504) 821-8185
NPI assigned
Jan 26, 2016
Last updated
Jan 26, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 721469692 LA Primary

Addresses

Primary practice location

2740 Iberville St
New Orleans, LA 70119-5516

Mailing address

2740 Iberville St
New Orleans, LA 70119-5516
Phone (504) 821-8184

Other identifiers 1

IdentifierTypeStateIssuer
721469692MedicaidLA

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

State licenses

LicenseStateTypeSpecialty
721469692LAMDClinic/Center

NPI Registry JSON

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453766400000",
    "number": "1144687823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 IBERVILLE ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701195516",
            "telephone_number": "504-821-8184",
            "fax_number": "504-821-8185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 IBERVILLE ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701195516",
            "telephone_number": "504-821-8184",
            "fax_number": "504-821-8185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "BROOKE",
        "middle_name": "CELESTE",
        "name_prefix": "Ms.",
        "credential": "PRACTICAL NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-26",
        "last_updated": "2016-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "LA",
            "license": "721469692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "721469692",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.