Sancia Renee Brooks

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

207921 Issued in TN

Practice address

212 Middle Dayle Dr
Portland, TN 37148-2060

Phone

(615) 719-4347

NPI assigned

Jul 18, 2024

Last updated

Jul 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

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": "1721260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1194563767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 MIDDLE DAYLE DR",
            "city": "PORTLAND",
            "state": "TN",
            "postal_code": "371482060",
            "telephone_number": "615-719-4347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 MIDDLE DAYLE DR",
            "city": "PORTLAND",
            "state": "TN",
            "postal_code": "371482060",
            "telephone_number": "615-719-4347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "SANCIA",
        "middle_name": "RENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "TN",
            "license": "207921",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TN",
            "license": "207921",
            "primary": false
        },
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "TN",
            "license": "207921",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latoya Blake
• Joshua Bland, MD
• Lester Steve Blevins
• Donald W Blocker, O.D.
• Trevor Benjamin Brandt, DPT
• Natalie Elizabeth Brown, RN
• Jason A Bruns, BSPT
• Felicia Butler, MSN, APRN, FNP-BC
• Amanda Butterworth, MSN, APRN, FNP-C
• Cabbe, LLC (Seniors Helping Seniors)

• Customized Equipment (DME) in Portland, TN
• Providers in Portland, TN by specialty
• Customized Equipment (DME) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.