Active NPI
Brooke Joy French, APRN
- Pediatric Nurse Practitioner
- Waterbury, CT
National Provider Identifier
1386639292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 7527
- Practice address
- 51 N Elm St
Waterbury, CT 06702-1545 - Phone
- (203) 574-7400
- NPI assigned
- Sep 16, 2005
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 3690P | KY | |
| Pediatric Nurse Practitioner | 363LP0200X | 137261 | MO | |
| Pediatric Nurse Practitioner | 363LP0200X | 7527 | CT | Primary |
Addresses
Primary practice location
51 N Elm St
Waterbury, CT 06702-1545
Mailing address
5471 Dr Martin Luther King Dr
Saint Louis, MO 63112-4265
Phone (314) 367-5820
Other practice location 1
5471 Dr Martin Luther King Dr
Saint Louis, MO 63112-4265
Phone (314) 367-5820 ext. 251
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 78006822 | Medicaid | MO | |
| 000000209807 | Other | KY | ID BLUE CROSS INSURANCE |
| 20010278 | Other | KY | PASSPORT NON-PARTICIPATE |
| 78006822 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7527 | CT | MD | Surgical Physician Assistant |
| 3690P | KY | MD | Pediatric Nurse Practitioner |
| 137261 | MO | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Center Inc | Current | Accepting new patients | |
| Community Health Center Inc | Current | Accepting new patients |
Locations
19 Grand St
Middletown, CT 06457
Phone (860) 323-0172
51 N Elm St
Waterbury, CT 06702
Phone (203) 574-4000
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Middletown, CT
- NPI 1952591851
-
- Federally Qualified Health Center (FQHC)
- Danbury, CT
- NPI 1003332446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696896000000",
"number": "1386639292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5471 DR MARTIN LUTHER KING DR",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631124265",
"telephone_number": "314-367-5820",
"fax_number": "314-367-7010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 N ELM ST",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067021545",
"telephone_number": "203-574-7400"
}
],
"practiceLocations": [
{
"address_1": "5471 Dr Martin Luther King Dr",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631124265",
"country_code": "US",
"telephone_number": "314-367-5820 x251",
"fax_number": "314-367-7010",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRENCH",
"first_name": "BROOKE",
"middle_name": "JOY",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-16",
"last_updated": "2023-10-10",
"certification_date": "2023-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "KY",
"license": "3690P",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MO",
"license": "137261",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CT",
"license": "7527",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "78006822",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ID BLUE CROSS INSURANCE",
"identifier": "000000209807",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT NON-PARTICIPATE",
"identifier": "20010278",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "78006822",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.