Katina B Brooks
Individual provider Active NPI Peer Specialist · Baton Rouge, LA
NPI 1154969137 · NPPES record last updated Mar 24, 2020
Key facts
- NPI
- 1154969137
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- Practice address
- 8326 Kelwood Ave
Baton Rouge, LA 70806-4803 - Phone
- (225) 478-9685
- NPI assigned
- Dec 20, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | LA | Yes |
Addresses
Primary practice location
8326 Kelwood Ave
Baton Rouge, LA 70806-4803
Mailing address
8326 Kelwood Ave
Baton Rouge, LA 70806-4803
Phone (225) 478-9685
Other providers in Baton Rouge, LA
- Derrick Brooks
- Eliska Davis Brooks
- Emily Stephens Brooks
- Eric James Brooks
- Kadyn Michelle Brooks
- Monica Brooks
- Nekita Lasha Brooks
- Renata S Brooks
- Renee Jeanette Brooks
- Sarah J. Brooks
All providers in Baton Rouge, LA · Peer Specialist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.