Samantha Joanne Brooks, CSA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

5225 Issued in KY

Practice address

1801 Ashley Cir
Bowling Green, KY 42104-3362

Phone

(270) 793-1000

NPI assigned

Mar 11, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1366027393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 SHETLAND AVE",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421047654",
            "telephone_number": "270-792-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 ASHLEY CIR",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421043362",
            "telephone_number": "270-793-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "484 Golden Autumn Way Ste 201",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "421036914",
            "country_code": "US",
            "telephone_number": "270-781-5111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "SAMANTHA",
        "middle_name": "JOANNE",
        "credential": "CSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-11",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "KY",
            "license": "5225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Jo Brooks, MD
• Burton Carl Brooks, M.D.
• Carl David Brooks, LPCC, LPC
• Hannah Katherine Brooks
• Kamala Mechelle Brooks, NP
• Sarah Brooks, CSW
• Sarah Brooks, OTR/L
• Jodi Deeanne Brosche, DPT
• Sarah Beth Brousseau
• Dayzsha Browder

• All providers in Bowling Green, KY
• Surgical Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; 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.