Brooke Lynne Hover, RN

Key facts

NPI

1487936787

Entity type

Individual (NPI type 1)

Primary specialty

Registered Nurse 163W00000X

License

559162 (NY)

Practice address

58 Quaker St
Granville, NY 12832-1513

Phone

(518) 642-1051

Fax

(518) 642-4544

NPI assigned

Sep 13, 2011

Sex

Female

Sole proprietor

Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Granville Central School District Local Education Agency (LEA) · Granville, NY · NPI 1609933423
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Registered Nurse

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 13, 2011.

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315872000000",
    "number": "1487936787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 QUAKER ST",
            "city": "GRANVILLE",
            "state": "NY",
            "postal_code": "128321513",
            "telephone_number": "518-642-1051",
            "fax_number": "518-642-4544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 QUAKER ST",
            "city": "GRANVILLE",
            "state": "NY",
            "postal_code": "128321513",
            "telephone_number": "518-642-1051",
            "fax_number": "518-642-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOVER",
        "first_name": "BROOKE",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-13",
        "last_updated": "2011-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "559162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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