Active NPI
Brooke Irene Dicks, LAT, ATC
- Athletic Trainer
- Hays, KS
National Provider Identifier
1194205179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- T-04987
- Practice address
- 600 Park St
Hays, KS 67601-4009 - Phone
- (724) 714-8337
- NPI assigned
- Aug 18, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | T-04987 | KS | Primary |
Addresses
Primary practice location
600 Park St
Hays, KS 67601-4009
Mailing address
PO Box 983
Athens, WV 24712-0983
Other practice location 1
1000 Vermillion St
Athens, WV 24712-9027
Phone (724) 714-8337
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 |
|---|---|---|---|
| T-04987 | KS | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646092800000",
"number": "1194205179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 983",
"city": "ATHENS",
"state": "WV",
"postal_code": "247120983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 PARK ST",
"city": "HAYS",
"state": "KS",
"postal_code": "676014009",
"telephone_number": "724-714-8337"
}
],
"practiceLocations": [
{
"address_1": "1000 Vermillion St",
"address_purpose": "LOCATION",
"city": "Athens",
"state": "WV",
"postal_code": "247129027",
"country_code": "US",
"telephone_number": "724-714-8337",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DICKS",
"first_name": "BROOKE",
"middle_name": "IRENE",
"credential": "LAT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-18",
"last_updated": "2022-03-01",
"certification_date": "2022-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "KS",
"license": "T-04987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hays, KS
- Developmental Services of Northwest Kansas, Inc.
- Developmental Services of Northwest Kansas, Inc.
- Developmental Services of Northwest Kansas, Inc.
- Developmental Services of Northwest Kansas, Inc.
- Tiffany Dewitt, APRN
- Catera Dietrich, LPC
- Roger V. Dietz, M.D.
- Dillon Companies LLC (Dillon Pharmacy)
- Dillon Companies LLC (Dillon Pharmacy)
- Lindsey Dinkel, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.