Tavia Shalese Brooks-Vines, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

246696-1 Issued in NY

Practice address

220 Hutchinson Ave
Buffalo, NY 14215-2241

Phone

(716) 480-2751

NPI assigned

Oct 7, 2010

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": "1286409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286409600000",
    "number": "1245540343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 HUTCHINSON AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142152241",
            "telephone_number": "716-480-2751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 HUTCHINSON AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142152241",
            "telephone_number": "716-480-2751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS-VINES",
        "first_name": "TAVIA",
        "middle_name": "SHALESE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-07",
        "last_updated": "2010-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "246696-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlene Bromfield
• Tanni Bromley, PA
• Ashlyn Jewel Bronaugh, RN
• Barbara Ann Bronstein
• Hannah Lynn Bronstein
• Carlton Anthony Brooks Jr.
• Chelsea Brooks
• David M Brooks, MD
• Ivory Brooks
• Jadelyn Brooks

• All providers in Buffalo, NY
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; 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.