Individual provider Active NPI

Tasha Ivey Brooks, FNP-C

  • Family Nurse Practitioner
  • Pembroke, NC
National Provider Identifier
1336818012
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5015095 Issued in NC
Practice address
509 W 3Rd St
Pembroke, NC 28372-9546
Phone
(910) 668-1121
Fax
(910) 558-9671
NPI assigned
Sep 7, 2021
Last updated
Apr 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5015095 NC Primary
Pediatric Nurse Practitioner 363LP0200X 5015095 NC

Addresses

Primary practice location

509 W 3Rd St
Pembroke, NC 28372-9546

Mailing address

49 Stanley St
Pembroke, NC 28372-8541
Phone (910) 316-0517

Other practice location 1

400 Liberty Hill Rd
Lumberton, NC 28358-2446
Phone (910) 739-3318

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Pembroke

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20211028002254 NC Practitioner - Nurse Practitioner 8729476478 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Terra Pain Consultants PLLCGroup PAC ID 7113339821, 2 clinicians

Practice addresses (Care Compare)

812 Candy Park Rd
Suite 6103
Pembroke, NC 28372-9121
Phone (919) 817-1466

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Terra Pain Consultants PLLC CurrentSince Jul 21, 2025 Accepting new patients
Children's Health of Carolina, PA CurrentSince Sep 1, 2026 Accepting new patients
Scotland Memorial Hospital Inc CurrentSince Nov 1, 2025 Accepting new patients
Scotland Memorial Hospital Inc CurrentSince Nov 1, 2025 Accepting new patients
Children's Health of Carolina, PA Past Accepting new patients

Locations

1249 Kildaire Farm Rd
Cary, NC 27511
Phone (804) 404-6460

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

220 Liberty Hill Rd
Lumberton, NC 28358
Phone (910) 739-2477

812 Candy Park Rd
Ste 6103
Pembroke, NC 28372
Phone (910) 521-3093

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CDGCCD/Endpoint/CDGCCD
  • Direct secure messaging: tasha.brooks.1@29216.direct.athenahealth.com

Organizations & group practices 5

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": "1630972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1336818012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 STANLEY ST",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283728541",
            "telephone_number": "910-316-0517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 W 3RD ST",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283729546",
            "telephone_number": "910-668-1121",
            "fax_number": "910-558-9671"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Liberty Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Lumberton",
            "state": "NC",
            "postal_code": "283582446",
            "country_code": "US",
            "telephone_number": "910-739-3318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "TASHA",
        "middle_name": "IVEY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-07",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5015095",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "5015095",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Pembroke",
            "affiliation": "N",
            "address_1": "812 Candy Park Rd",
            "city": "Pembroke",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283729120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pembroke, NC

Sources for this page

Verify at the official NPI Registry.