Individual provider Active NPI

Jeannie Brooks, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lawrenceburg, TN
National Provider Identifier
1407963374
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
28715 Issued in TN
Practice address
129 N Locust Ave
Lawrenceburg, TN 38464-3757
Phone
(931) 762-7232
Fax
(931) 722-9919
NPI assigned
Aug 24, 2006
Last updated
Aug 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 71016858A IN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 28715 TN Primary
Licensed Practical Nurse 164W00000X 58700 TN
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

129 N Locust Ave
Lawrenceburg, TN 38464-3757

Mailing address

1804 Highway 45 Byp
Ste 604
Jackson, TN 38305-4436
Phone (731) 660-8755

Other practice location 1

211 E State Highway 66
Tell City, IN 47586-2757
Phone (812) 979-2136

Other practice location 2

238 Summar Dr
Jackson, TN 38301-3906
Phone (731) 935-8200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY, IN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20210312000507 TN Practitioner - Nurse Practitioner 3577979715 Reassigns benefits to 3 organizations
I20250523000646 KY Practitioner - Nurse Practitioner 3577979715 Reassigns benefits to 2 organizations
I20250910001389 IN Practitioner - Nurse Practitioner 3577979715 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians

Practice addresses (Care Compare)

211 US Hwy 66 E
Tell City, IN 47586-2757
Phone (812) 772-4380

4696 Nashville Hwy
Chapel Hill, TN 37034-2110
Phone (931) 364-5321

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
58700TNMDLicensed Practical Nurse
28715TNMDOccupational Medicine Physician
71016858AINMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Apr 1, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Apr 1, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Fast Pace Kentucky PLLC CurrentSince May 1, 2025 Accepting new patients
Pathways of Tennessee, Inc. CurrentSince Feb 1, 2021 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jul 15, 2025 Accepting new patients
Fast Pace Kentucky, PLLC CurrentSince May 1, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC PastSince Dec 5, 2021 Accepting new patients

Locations

1159 W Jefferson St
Ste 204
Franklin, IN 46131

4152 W State Road 56
Hanover, IN 47243
Phone (812) 762-4510

211 US Highway 66 E
Tell City, IN 47586
Phone (812) 722-4380

1475 Nashville Rd
Franklin, KY 42134
Phone (270) 813-1111

115 Tradepark Dr
Ste A
Somerset, KY 42503
Phone (606) 678-5708

1120 Tammbell St
Brownsville, TN 38012
Phone (731) 541-8344

7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038

1720 Woodlawn Ave
Dyersburg, TN 38024
Phone (731) 285-1393

1270 Union University Dr
Ste D
Jackson, TN 38305
Phone (731) 265-6450

238 Summar Dr
Jackson, TN 38301
Phone (731) 541-8200

33 Directors Row
Ste A
Jackson, TN 38305
Phone (731) 541-7605

129 N Locust Ave
Lawrenceburg, TN 38464
Phone (855) 560-4999

9550 Highway 412 W
Ste B
Lexington, TN 38351
Phone (731) 968-8197

4039 Highland St
Ste 2
Milan, TN 38358
Phone (731) 723-1327

223 S Court St
Tiptonville, TN 38079
Phone (731) 253-7780

930 Mount Zion Rd
Union City, TN 38261
Phone (731) 885-9333

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1407963374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 HIGHWAY 45 BYP",
            "address_2": "STE 604",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383054436",
            "telephone_number": "731-660-8755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 N LOCUST AVE",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384643757",
            "telephone_number": "931-762-7232",
            "fax_number": "931-722-9919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 E State Highway 66",
            "address_purpose": "LOCATION",
            "city": "Tell City",
            "state": "IN",
            "postal_code": "475862757",
            "country_code": "US",
            "telephone_number": "812-979-2136",
            "fax_number": "812-772-4381",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "238 Summar Dr",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "TN",
            "postal_code": "383013906",
            "country_code": "US",
            "telephone_number": "731-935-8200",
            "fax_number": "731-935-8327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "JEANNIE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71016858A",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "28715",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TN",
            "license": "58700",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceburg, TN

Sources for this page

Verify at the official NPI Registry.