Katherine Brooks, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-147057 Issued in AL

Practice address

1241 Blount Ave
Guntersville, AL 35976-1831

Phone

(256) 582-6377

NPI assigned

Jan 18, 2019

Last updated

Oct 30, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Vivian N Hannon

  dba Guntersville Family Practice Clinic

  • Family Nurse Practitioner
  • Guntersville, AL
  • NPI 1841460375
  Medicare reassignment NPD

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

{
    "created_epoch": "1547769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1386118735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 BERKSHIRE LANE",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359505908",
            "telephone_number": "256-840-3437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 BLOUNT AVE",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359761831",
            "telephone_number": "256-582-6377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2505 US Highway 431",
            "address_purpose": "LOCATION",
            "city": "Boaz",
            "state": "AL",
            "postal_code": "359575908",
            "country_code": "US",
            "telephone_number": "256-840-3437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "KATHERINE",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-18",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1147057",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-147057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "163W00000X",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Lynn Britt
• Stephen Lyle Britt, MD
• James Lee Britton II II
• Hannah Hovey Brocato
• Melissa Dawn Brock
• Thomas Henry Brookshire, MA MFT
• Valerie E Brothers, M.S.W.
• Leanna T Brotherson, M.A.
• Brenda Louise Brown
• Britany Smith Brown, MSW

• Family Nurse Practitioner in Guntersville, AL
• Providers in Guntersville, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.