Ta'Vianna Monique Brooks

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86445385 Issued in FL

Practice address

3601 Kernan Blvd S FL 32224
Jacksonville, FL 32224-9602

Phone

(904) 234-2302

NPI assigned

Feb 23, 2026

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1771804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1174477665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10885 KRUGERRAND LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322187319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 KERNAN BLVD S FL 32224",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322249602",
            "telephone_number": "904-234-2302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10885 Krugerrand Ln",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322187319",
            "country_code": "US",
            "telephone_number": "904-234-2302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "TA'VIANNA",
        "middle_name": "MONIQUE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-23",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "86445385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick D Brooks, MD
• Reggie Brooks Sr.
• Sean Brooks
• Shameik Brooks
• Stephen John David Brooks, MD
• Tamara Brooks, LCSW
• Teresa Brooks
• Torina Laterral Brooks
• Chase Victoria Broome, PA-C
• Lindsay Boyett Broome, PHARMD

• Registered Dietitian in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; 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.