Individual provider Active NPI

Brooke Demastus

  • Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1487518122
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
40372 Issued in TN
Practice address
281 N Lyerly St Ste 200
Chattanooga, TN 37404-2749
Phone
(423) 698-0850
Fax
(833) 450-6211
NPI assigned
Dec 15, 2025
Last updated
Feb 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 40372 TN Primary
Family Nurse Practitioner 363LF0000X 40372 TN

Addresses

Primary practice location

281 N Lyerly St Ste 200
Chattanooga, TN 37404-2749

Mailing address

281 N Lyerly St Ste 200
Chattanooga, TN 37404-2749
Phone (423) 698-0850

Other practice location 1

4957 Swinyar Dr Ste 101
Ooltewah, TN 37363-2205
Phone (423) 698-0850

Other practice location 2

862 Callen Ln NW Ste 110
Cleveland, TN 37312-7020
Phone (423) 331-5025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20260403001214 TN Practitioner - Nurse Practitioner 0244715589 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
East Tennessee State University Quillen College of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

281 N Lyerly St
Suite 200
Chattanooga, TN 37404-2728
Phone (423) 698-0850

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40372TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Specialists in Pain Management, PLLC Dba Spine & Pain Associates PastSince Aug 28, 2022 Accepting new patients
Specialists in Pain Management, PLLC Dba Spine & Pain Associates Single Specialty PastSince Jul 14, 2025 Accepting new patients

Organizations & group practices 2

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": "1765756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1487518122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 N LYERLY ST STE 200",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374042749",
            "telephone_number": "423-698-0850",
            "fax_number": "833-450-6211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 N LYERLY ST STE 200",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374042749",
            "telephone_number": "423-698-0850",
            "fax_number": "833-450-6211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4957 Swinyar Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Ooltewah",
            "state": "TN",
            "postal_code": "373632205",
            "country_code": "US",
            "telephone_number": "423-698-0850",
            "fax_number": "833-450-6211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "862 Callen Ln NW Ste 110",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "TN",
            "postal_code": "373127020",
            "country_code": "US",
            "telephone_number": "423-331-5025",
            "fax_number": "833-450-6211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEMASTUS",
        "first_name": "BROOKE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-15",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "40372",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "40372",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.