Chandra Evettemarie Brooks

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

40015 Sierra Hwy
Palmdale, CA 93550-2101

Phone

(661) 526-5061

Fax

(661) 526-4931

NPI assigned

Mar 27, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Interoperability endpoints

• Direct secure messaging: chandra.brooks@thementornetwork.com

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1487772182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38550 22ND ST E UNIT 6",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935504074",
            "telephone_number": "559-347-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40015 SIERRA HWY",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935502101",
            "telephone_number": "661-526-5061",
            "fax_number": "661-526-4931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "CHANDRA",
        "middle_name": "EVETTEMARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Chandra.Brooks@thementornetwork.com",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "40015 Sierra Hwy",
            "city": "Palmdale",
            "state": "CA",
            "country_code": "US",
            "postal_code": "935502101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Melissa Marie Brittain, RDMS
• Taylor Annette Britton
• Penny Jo Broadway
• Isaiah Bronson
• Aaliyah Shantel Brooks
• Ebony M Brooks
• Stevi Brott
• Sidney Broussard III
• Aaliyah Natalie Brown
• Alicia E Brown

• Case Manager/Care Coordinator in Palmdale, CA
• Providers in Palmdale, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.