Active NPI
Tasha Ivey Brooks, FNP-C
- Family Nurse Practitioner
- Pembroke, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5015095
- 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, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Terra Pain Consultants PLLC | Current | Accepting new patients | |
| Children's Health of Carolina, PA | Current | Accepting new patients | |
| Scotland Memorial Hospital Inc | Current | Accepting new patients | |
| Scotland Memorial Hospital Inc | Current | 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
- https://fhir4.healow.com/fhir/r4/CDGCCD/Endpoint/CDGCCD
- 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.
-
- Pain Medicine Physician
- Pembroke, NC
- NPI 1134727233
-
dba SURGICAL ASSOCIATES of SCOTLAND
- Vascular Surgery Physician
- Laurinburg, NC
- NPI 1477791507
-
dba Children's Health Urgent Care
- Pediatrics Physician
- Lumberton, NC
- NPI 1316809502
-
dba Scotland Professional Services
- General Practice Physician
- Laurinburg, NC
- NPI 1518951144
-
dba Children's Health Pembroke
- Pediatrics Physician
- Pembroke, NC
- NPI 1750345286
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; 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.