Tarrayah Latonya Brooks, APRN

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

222124 Issued in LA

Practice address

1453 E Bert Koun Loop
Shreveport, LA 71105-6800

Phone

(318) 681-5503

NPI assigned

Nov 19, 2021

Last updated

Nov 19, 2021By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

David Raines Community Health Center, Inc.Group PAC ID 4688586118, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tarrayah.brooks.p1@direct.davidraineschc.nextgenshare.com
• Direct secure messaging: tbrooks608734@christushealth.direct-ci.net

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.

• David Raines Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Shreveport, LA
  • NPI 1215933254
  Medicare reassignment Care Compare group NPD
• David Raines Community Health Center, Inc

  dba David Raines Community Health Center- Mobile Medical Unit #3

  • Federally Qualified Health Center (FQHC)
  • Shreveport, LA
  • NPI 1205721487
  NPD
• David Raines Community Health Center, Inc.

  dba David Raines School Based Health Center-Oak Park

  • Federally Qualified Health Center (FQHC)
  • Shreveport, LA
  • NPI 1760042394
  NPD
• David Raines Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Minden, LA
  • NPI 1265438998
  NPD (past)
• David Raines Community Health Center, Inc.

  dba David Raines School Based Health Center - Linwood

  • Federally Qualified Health Center (FQHC)
  • Shreveport, LA
  • NPI 1760904981
  NPD (past)
• David Raines Community Health Center, Inc.

  dba David Raines School Based Health Center-Woodlawn

  • Federally Qualified Health Center (FQHC)
  • Shreveport, LA
  • NPI 1760906630
  NPD (past)
• David Raines Community Health Center, Inc.

  dba David Raines School Based Health Center-Turner

  • Federally Qualified Health Center (FQHC)
  • Shreveport, LA
  • NPI 1942083191
  NPD (past)

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

{
    "created_epoch": "1637280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637280000000",
    "number": "1275290736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1453 E BERT KOUN LOOP",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711056800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1453 E BERT KOUN LOOP",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711056800",
            "telephone_number": "318-681-5503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "TARRAYAH",
        "middle_name": "LATONYA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-19",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "LA",
            "license": "222124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Wright Brooks II, CFNP/APRN
• Kimberly Brooks
• Laura Christine Brooks, APRN, NNP-BC
• Linda T Brooks, SLP
• Tamika Brooks
• Teresa W Brooks, MA
• Brookshire Grocery Company (Brookshires Pharmacy)
• Brookshire Grocery Company (Brookshires Pharmacy)
• Brookshire Grocery Company (Brookshires Pharmacy)
• Brookshire Grocery Company (Brookshires Pharmacy)

• Acute Care Nurse Practitioner in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Acute Care Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.