Crystal Jill Brooks, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R056361 Issued in ME

Practice address

1 VA Ctr
Augusta, ME 04330-6719

Phone

(207) 623-8411

Fax

(207) 621-4834

NPI assigned

May 13, 2019

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557705600000",
    "number": "1457917676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 OLD STAGE RD",
            "city": "ARROWSIC",
            "state": "ME",
            "postal_code": "045307410",
            "telephone_number": "207-449-8788",
            "fax_number": "207-621-4834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 VA CTR",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043306719",
            "telephone_number": "207-623-8411",
            "fax_number": "207-621-4834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "CRYSTAL",
        "middle_name": "JILL",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-13",
        "last_updated": "2019-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ME",
            "license": "R056361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Brochu, RPH
• Susan Ann Brochu, LCSW
• McKenna A Brodeur
• Natalie Brogan, RN, BSN
• Christina Marie Brooks
• Janet Brooks
• Elizabeth Ann Brophy, OTR/L
• Susan L Brousseau, LCSW
• Anna Brown, MS, OTR/L
• Anna L Brown, LCPC

• Registered Nurse in Augusta, ME
• Providers in Augusta, ME by specialty
• Registered Nurse in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; 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.