Active NPI
Brooke Elizabeth Floerke, RD
- Registered Dietitian
- Fort Collins, CO
National Provider Identifier
1164059275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1040780
- Practice address
- 5432 Northern Lights Dr
Fort Collins, CO 80528-4433 - Phone
- (806) 786-9290
- NPI assigned
- Mar 26, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1040780 | TX | Primary |
Addresses
Primary practice location
5432 Northern Lights Dr
Fort Collins, CO 80528-4433
Mailing address
5432 Northern Lights Dr
Fort Collins, CO 80528-4433
Phone (806) 786-9290
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1040780 | TX | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Well-Choices | Past | Accepting new patients | |
| Hansen, LLC | Dietitian, Registered | Past | Accepting new patients |
| Cloud Health Medical Group, P.a. | Past | Accepting new patients | |
| Cloud Health Medical Group of New Jersey, P.C. | Past | Accepting new patients | |
| Cloud Health Medical Group of California, P.C. | Past | Accepting new patients | |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1194404327
-
- Internal Medicine Physician
- Union City, NJ
- NPI 1043995467
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1528744935
-
- Nutritionist
- Sheridan, WY
- NPI 1215531173
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585180800000",
"number": "1164059275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5432 NORTHERN LIGHTS DR",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805284433",
"telephone_number": "806-786-9290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5432 NORTHERN LIGHTS DR",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805284433",
"telephone_number": "806-786-9290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLOERKE",
"first_name": "BROOKE",
"middle_name": "ELIZABETH",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-26",
"last_updated": "2020-03-26",
"certification_date": "2020-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "1040780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.