Active NPI
Brooke Amber Faulks, OTR/L
- Occupational Therapist
- Auburn, NE
National Provider Identifier
1184174658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2033
- Practice address
- 1819 F St
Auburn, NE 68305-2222 - Phone
- (402) 274-3388
- NPI assigned
- Oct 9, 2016
- Last updated
- Oct 9, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2033 | NE | Primary |
| Occupational Therapist | 225X00000X | 83915 | IA |
Addresses
Primary practice location
1819 F St
Auburn, NE 68305-2222
Mailing address
1819 F St
Auburn, NE 68305-2222
Phone (402) 274-3388
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 |
|---|---|---|---|
| 83915 | IA | MD | Occupational Therapist |
| 2033 | NE | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475971200000",
"number": "1184174658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1819 F ST",
"city": "AUBURN",
"state": "NE",
"postal_code": "683052222",
"telephone_number": "402-274-3388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1819 F ST",
"city": "AUBURN",
"state": "NE",
"postal_code": "683052222",
"telephone_number": "402-274-3388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAULKS",
"first_name": "BROOKE",
"middle_name": "AMBER",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-09",
"last_updated": "2016-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NE",
"license": "2033",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IA",
"license": "83915",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Auburn, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.