Individual provider Active NPI

Leah Brooke Brockmeyer, MSN, RN, FNP-C

  • Nurse Practitioner
  • Fuquay Varina, NC
National Provider Identifier
1487511267
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5023735 Issued in NC
Practice address
1004 Procure St
Fuquay Varina, NC 27526-2620
Phone
(919) 577-0085
Fax
(919) 577-0013
NPI assigned
Jan 5, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5023735 NC Primary

Addresses

Primary practice location

1004 Procure St
Fuquay Varina, NC 27526-2620

Mailing address

1004 Procure St
Fuquay Varina, NC 27526-2620
Phone (919) 577-0085

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
5023735NCMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1767571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1487511267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 PROCURE ST",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275262620",
            "telephone_number": "919-577-0085",
            "fax_number": "919-577-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 PROCURE ST",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275262620",
            "telephone_number": "919-577-0085",
            "fax_number": "919-577-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCKMEYER",
        "first_name": "LEAH",
        "middle_name": "BROOKE",
        "credential": "MSN, RN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-05",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5023735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fuquay Varina, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; 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.