Nicole Brooks
Individual provider Active NPI Community Health Worker · Sutton, WV
NPI 1386337889 · NPPES record last updated May 31, 2023
Key facts
- NPI
- 1386337889
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 3190 Upper Little Birch Rd
Sutton, WV 26601-9368 - Phone
- (304) 644-4921
- NPI assigned
- May 31, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
3190 Upper Little Birch Rd
Sutton, WV 26601-9368
Mailing address
3190 Upper Little Birch Rd
Sutton, WV 26601-9368
Phone (304) 644-4921
Other providers in Sutton, WV
- Braxton SNF LLC
- Stephanie Brewster
- Dinah Frances Bright
- Jeffrey Thomas Bright
- Katherine Louise Bright
- Sharon Brooks
- Christa Louise Brown
- Genelda Brown
- Lillian Brown
- Lisa Brown
All providers in Sutton, WV · Community Health Worker in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 31, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.