Active NPI
Brooke Elizabeth Serra
- Case Manager/Care Coordinator
- Boston, MA
National Provider Identifier
1386587590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 56382683
- Practice address
- 124 Melville Ave Apt 1
Boston, MA 02124-2192 - Phone
- (401) 742-4310
- NPI assigned
- Apr 13, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 56382683 | MA | |
| Recreation Therapist | 225800000X | 56382683 | MA | |
| Rehabilitation Counselor | 225C00000X | 56382683 | MA | |
| Case Manager/Care Coordinator | 171M00000X | 56382683 | MA | Primary |
Addresses
Primary practice location
124 Melville Ave Apt 1
Boston, MA 02124-2192
Mailing address
124 Melville Ave Apt 1
Boston, MA 02124-2192
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56382683 | MA | MD | Rehabilitation Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776038400000",
"number": "1386587590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 MELVILLE AVE APT 1",
"city": "BOSTON",
"state": "MA",
"postal_code": "021242192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 MELVILLE AVE APT 1",
"city": "BOSTON",
"state": "MA",
"postal_code": "021242192",
"telephone_number": "401-742-4310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERRA",
"first_name": "BROOKE",
"middle_name": "ELIZABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-04-13",
"last_updated": "2026-04-13",
"certification_date": "2026-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "MA",
"license": "56382683",
"primary": false
},
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": "MA",
"license": "56382683",
"primary": false
},
{
"code": "225C00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor",
"state": "MA",
"license": "56382683",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "MA",
"license": "56382683",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.