Individual provider Active NPI

Tausha J Brooks, APRN FNP-C

  • Family Nurse Practitioner
  • Peoria, AZ
National Provider Identifier
1255154118
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
315801 Issued in AZ
Practice address
6943 W Beryl Ave
Peoria, AZ 85345-6748
Phone
(602) 481-8526
NPI assigned
Nov 7, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 315801 AZ Primary

Addresses

Primary practice location

6943 W Beryl Ave
Peoria, AZ 85345-6748

Mailing address

PO Box 5473
Peoria, AZ 85385-5473
Phone (602) 481-8526

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241204004394 AZ Practitioner - Nurse Practitioner 2769918473 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peoria Urgent Care and Walk in Clinic PLLCGroup PAC ID 1153798590, 2 clinicians

Practice addresses (Care Compare)

9163 W Union Hills Dr
Suite 107
Peoria, AZ 85382-8187
Phone (313) 948-3055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
315801AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peoria Urgent Care and Walk in Clinic PLLC CurrentSince Nov 18, 2024 Accepting new patients

Locations

9163 W Union Hills Dr
Ste 107
Peoria, AZ 85382

14671 Telegraph Rd
Redford, MI 48239
Phone (313) 387-2100

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1730937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1255154118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5473",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853855473",
            "telephone_number": "602-481-8526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6943 W BERYL AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853456748",
            "telephone_number": "602-481-8526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "TAUSHA",
        "middle_name": "J",
        "credential": "APRN FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-07",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "315801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.