Jazmine Brooks, CPT

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

License

24R-1173 Issued in FL

Practice address

137 S Sheridan St
South Bend, IN 46619-1858

Phone

(780) 714-4935

Fax

(780) 714-4935

NPI assigned

Jan 28, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Stick and Go Mobile Lab Services

  • Health Maintenance Organization
  • South Bend, IN
  • NPI 1356148100

  Phlebotomy

  NPD Authorized official

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

{
    "created_epoch": "1738022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1396558912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 W WESTERN AVE",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466193544",
            "telephone_number": "844-784-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 S SHERIDAN ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466191858",
            "telephone_number": "780-714-4935",
            "fax_number": "780-714-4935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "JAZMINE",
        "credential": "CPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-28",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "FL",
            "license": "24R-1173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aubrey Brogdon, SLP
• James F Brogle, PH.D.
• Susan M Brokaw, PT
• Jade Brom, RBT
• Brookdale Senior Living Communities, Inc. (Brookdale South Bend)
• Kassi J Brooks, LCGC
• Robert C Brooks
• Alexous Brown
• Brandi Lea Brown, CPNP-AC
• Clarissa Brown

• Phlebotomy Technician in South Bend, IN
• Providers in South Bend, IN by specialty
• Phlebotomy Technician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.