Active NPI
Amy E Brooks, RD
- Registered Dietitian
- Fort Worth, TX
National Provider Identifier
1285270124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT80680
- Practice address
- 1250 8TH Ave Ste 135
Fort Worth, TX 76104-4156 - Phone
- (817) 921-2153
- Fax
- (214) 579-6993
- NPI assigned
- Nov 26, 2019
- Last updated
- Oct 8, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT80680 | TX | Primary |
Addresses
Primary practice location
1250 8TH Ave Ste 135
Fort Worth, TX 76104-4156
Mailing address
1505 LBJ Fwy Ste 700
Dallas, TX 75234-6065
Phone (214) 358-2300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DT80680 | Other | TX | TX DEPARTMENT OF LICENSING & REGULATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1250 8TH Ave
Suite 135
Fort Worth, TX 76104-4156
Phone (214) 358-2300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- abrooks68428@direct.acumenmd.com
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.
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- Dallas, TX
- NPI 1861440109
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728345600000",
"number": "1285270124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1505 LBJ FWY STE 700",
"city": "DALLAS",
"state": "TX",
"postal_code": "752346065",
"telephone_number": "214-358-2300",
"fax_number": "214-366-6159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 8TH AVE STE 135",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044156",
"telephone_number": "817-921-2153",
"fax_number": "214-579-6993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "AMY",
"middle_name": "E",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-26",
"last_updated": "2024-10-08",
"certification_date": "2024-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT80680",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TX DEPARTMENT OF LICENSING & REGULATION",
"identifier": "DT80680",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.