Individual provider Active NPI

Ashli A Brooks, FNP-BC

  • Family Nurse Practitioner
  • Panama City, FL
National Provider Identifier
1417102146
Registry record updated Feb 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9233730 Issued in FL
Practice address
410 W 19TH St
Panama City, FL 32405-4602
Phone
(850) 522-5490
Fax
(850) 522-5491
NPI assigned
Nov 21, 2008
Last updated
Feb 10, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9233730 FL Primary

Addresses

Primary practice location

410 W 19TH St
Panama City, FL 32405-4602

Mailing address

410 W 19TH St
Panama City, FL 32405-4602
Phone (850) 522-5490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090303000600 FL Practitioner - Nurse Practitioner 7911063730 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Institute of Endocrinology Diabetes Health and HormonesGroup PAC ID 8729300454, 32 clinicians

Practice addresses (Care Compare)

1241 Airport Rd
Suite M
Destin, FL 32541-2954
Phone (850) 460-7090

633 E Baldwin Rd
Panama City, FL 32405-4207
Phone (850) 522-5490

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Institute of Endocrinology Diabetes Health and Hormones CurrentSince Aug 31, 2014 Accepting new patients
Florida Internal Medicine Group Past Accepting new patients
Bay PC Prime Medical Past Accepting new patients

Locations

1241 Airport Rd
Ste M
Destin, FL 32541
Phone (850) 460-7090

410 W 19th St
Panama City, FL 32405
Phone (850) 522-5490

633 E Baldwin Rd
Panama City, FL 32405
Phone (850) 522-5490

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1227225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328832000000",
    "number": "1417102146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 W 19TH ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054602",
            "telephone_number": "850-522-5490",
            "fax_number": "850-522-5491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 W 19TH ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054602",
            "telephone_number": "850-522-5490",
            "fax_number": "850-522-5491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "ASHLI",
        "middle_name": "A",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-21",
        "last_updated": "2012-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9233730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.