Individual provider Active NPI

Yolanda Brooks, NP

  • Nurse Practitioner
  • Norfolk, VA
National Provider Identifier
1285126219
Registry record updated Jun 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024175846 Issued in VA
Practice address
155 Kingsley LN
Norfolk, VA 23505-4629
Phone
(757) 889-5000
NPI assigned
Jun 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024175846 VA Primary

Addresses

Primary practice location

155 Kingsley LN
Norfolk, VA 23505-4629

Mailing address

4240 River Shore Rd
Portsmouth, VA 23703-1639
Phone (757) 338-3227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20190625002441 VA Practitioner - Nurse Practitioner 5193059186 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peninsula Kidney Associates PCGroup PAC ID 1456348077, 8 clinicians

Practice addresses (Care Compare)

21 Manhattan SQ
Suite a
Hampton, VA 23666-6265
Phone (757) 251-7469

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Kidney Associates PC CurrentSince Dec 30, 2019 Accepting new patients
Nephrology Associates of Tidewater LTD CurrentSince Aug 21, 2023 Accepting new patients
Peninsula Vascular Center, P.C. Past Accepting new patients

Locations

501 Butler Farm Rd
Ste 1
Hampton, VA 23666
Phone (757) 766-6080

21 Manhattan Sq
Ste A
Hampton, VA 23666
Phone (757) 251-7469

6160 Kempsville Cir
Ste 302A
Norfolk, VA 23502
Phone (757) 466-9288

301 Riverview Ave
Ste 600
Norfolk, VA 23510
Phone (757) 627-7301

2790 Godwin Blvd
Ste 255
Suffolk, VA 23434
Phone (757) 925-0411

Interoperability endpoints

  • Direct secure messaging: yolanda.brooks@direct.davitaphysiciansolutions.com
  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/0000397

Organizations & group practices 3

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528156800000",
    "number": "1285126219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4240 RIVER SHORE RD",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237031639",
            "telephone_number": "757-338-3227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 KINGSLEY LN",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235054629",
            "telephone_number": "757-889-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "YOLANDA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-05",
        "last_updated": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024175846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.