Shandra D. Brooks, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

VN151473 Issued in CA

Practice address

2555 E Colorado Blvd
Suite 100
Pasadena, CA 91107-6622

Phone

(626) 577-2261

Fax

(626) 577-2543

NPI assigned

Nov 19, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195430400000",
    "number": "1295916245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 E OLDFIELD ST",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935353215",
            "telephone_number": "661-726-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 E COLORADO BLVD",
            "address_2": "SUITE 100",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911076622",
            "telephone_number": "626-577-2261",
            "fax_number": "626-577-2543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "SHANDRA",
        "middle_name": "D.",
        "name_prefix": "Ms.",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-19",
        "last_updated": "2007-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN151473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMH COUNTY STAFF CODE",
            "identifier": "ICAN787",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Nicole Bronson
• Daniel Brook
• Allison D Brooks, ACNP
• Ginger Anne Brooks, LPT
• Kristy Brooks, AMFT
• Stephanie Brooks
• Otis NMN Broome Jr.
• Jack S Broussard Jr., D.D.S.
• Daniel Olin Brousseau, D.O.
• Alandre Browder

• Licensed Vocational Nurse in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; 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.