Individual provider Active NPI

Jami H. Brooks, AU

  • Audiologist
  • Paris, TX
National Provider Identifier
1467456111
Registry record updated Feb 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
50734 Issued in TX
Practice address
3130 Lamar Ave
Paris, TX 75460-5020
Phone
(903) 737-8800
Fax
(903) 784-8429
NPI assigned
Jun 10, 2005
Last updated
Feb 17, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 50734 TX Primary
Speech-Language Pathologist 235Z00000X 14561 TX
Audiologist-Hearing Aid Fitter 237600000X 90573 TX

Addresses

Primary practice location

3130 Lamar Ave
Paris, TX 75460-5020

Mailing address

3130 Lamar Ave
Paris, TX 75460-5020
Phone (903) 737-8800

Other identifiers 8

IdentifierTypeStateIssuer
089238202MedicaidTX
089238201MedicaidTX
089238207MedicaidTX
531542OtherTXBCBS PROVIDER # AIDS
528421OtherTXBCBS PROVIDER # SPEECH
089238206MedicaidTX
089238203MedicaidTX
528465OtherTXBCBS PROVIDER # AUDIOLOGY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040819000727 TX Practitioner - Qualified Audiologist 4880667542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1217 S Broadway St
Suite N
Sulphur Springs, TX 75482-4888
Phone (903) 438-1600

301 W 19TH St
Mt Pleasant, TX 75455-2322
Phone (903) 737-8800

3130 Lamar Ave
Paris, TX 75460-5020
Phone (903) 737-8800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14561TXMDMental Health Counselor
50734TXMDAudiologist
90573TXMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Brooks Hearing, LLC Audiologist Current Accepting new patients
Brooks Hearing LLC Audiologist-Hearing Aid Fitter CurrentSince Jan 31, 2011 Accepting new patients
Brooks Hearing,LLC Audiologist CurrentSince Jan 31, 2011 Accepting new patients
Brooks Hearing & Speech Clinic Speech-Language Pathologist Past Accepting new patients

Locations

5002 Sayle St
Greenville, TX 75402
Phone (903) 274-4700

301 W 19th St
Mt Pleasant, TX 75455
Phone (903) 577-1101

3130 Lamar Ave
Paris, TX 75460
Phone (903) 737-8800

1217 S Broadway St
Ste N
Sulphur Springs, TX 75482
Phone (903) 438-1600

Organizations & group practices 7

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": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266364800000",
    "number": "1467456111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 LAMAR AVE",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754605020",
            "telephone_number": "903-737-8800",
            "fax_number": "903-784-8429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 LAMAR AVE",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754605020",
            "telephone_number": "903-737-8800",
            "fax_number": "903-784-8429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "JAMI",
        "middle_name": "H.",
        "credential": "AU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-10",
        "last_updated": "2010-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "50734",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "14561",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "TX",
            "license": "90573",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "089238202",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "089238201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "089238207",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER # AIDS",
            "identifier": "531542",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER # SPEECH",
            "identifier": "528421",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "089238206",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "089238203",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER # AUDIOLOGY",
            "identifier": "528465",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.