NPIMap

Organization Active NPI

Brookstone Medical Center

  • Addiction (Substance Use Disorder) Registered Nurse
  • St George, UT
National Provider Identifier
1366939068
Registry record updated Apr 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X
License
8143132-3102 Issued in UT
Legal business name
BROOKSTONE MEDICAL CENTER
Doing business as
BrookStone Medical Center
Practice address
198 N 100 E
Saint George, UT 84770-2831
Phone
(435) 628-1111
NPI assigned
Apr 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2018

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

Authorized official

Name
Mrs. Christine Tippetts Brooks, RN
Title
Program Director
Phone
(435) 628-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WA0400X 8143132-3102 UT Primary

Addresses

Primary practice location

198 N 100 E
Saint George, UT 84770-2831

Mailing address

198 N 100 E
Saint George, UT 84770-2831
Phone (435) 628-1111

Other names 1

  • BrookStone Medical Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524009600000",
    "number": "1366939068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 N 100 E",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847702831",
            "telephone_number": "435-628-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 N 100 E",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847702831",
            "telephone_number": "435-628-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKSTONE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-18",
        "last_updated": "2018-04-18",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "TIPPETTS",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "435-628-1111",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "UT",
            "license": "8143132-3102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BrookStone Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2018; 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.