Apple Brooke LLC

Primary specialty

ContractorTaxonomy code 171W00000X

Legal business name

APPLE BROOKE LLC

Practice address

12704 E Nora Ave Ste E
Spokane Valley, WA 99216-1140

Phone

(509) 242-3039

NPI assigned

Dec 29, 2021

Last updated

Dec 29, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tae Peunemany

Title

Ceo

Phone

(509) 279-3850

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1640736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640736000000",
    "number": "1255091302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12704 E NORA AVE STE E",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161140",
            "telephone_number": "509-242-3039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12704 E NORA AVE STE E",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161140",
            "telephone_number": "509-242-3039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLE BROOKE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-29",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A",
        "authorized_official_last_name": "PEUNEMANY",
        "authorized_official_first_name": "TAE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "509-279-3850"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Contractor in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Contractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.