Active NPI
Brooke Marie Jones, APRN-C
- Family Nurse Practitioner
- Leawood, KS
National Provider Identifier
1497168041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5376259101
- Practice address
- 12256 State Line Rd.
Leawood, KS 66209 - Phone
- (913) 345-9888
- Fax
- (913) 345-0958
- NPI assigned
- Jun 10, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5376259101 | KS | Primary |
| Registered Nurse | 163W00000X | 13-111661-101 | KS |
Addresses
Primary practice location
12256 State Line Rd.
Leawood, KS 66209
Mailing address
12256 State Line Rd.
Leawood, KS 66209
Phone (913) 345-9888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| KA3281001 | Other | KS | MEDICARE PTAN |
Other names 1
- Miss Brooke Marie McGovern
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13-111661-101 | KS | MD | Registered Nurse |
| 5376259101 | KS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Restore Muscle and Joint, LLC | Current | Accepting new patients | |
| Shane Bisson Chiropractic PA | Current | Accepting new patients | |
| Acute Spinal Rehab PA | Past | Accepting new patients |
Locations
12100 State Line Rd
Leawood, KS 66209
Phone (316) 882-5353
12256 State Line Rd
Leawood, KS 66209
Phone (913) 345-9888
5601 N Antioch Rd
Ste 7
Kansas City, MO 64119
Phone (816) 452-4488
4119 NW Barry Rd
Kansas City, MO 64154
Phone (816) 452-4488
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Kansas City, MO
- NPI 1962767061
-
- Physical Medicine & Rehabilitation Physician
- Leawood, KS
- NPI 1053595413
-
- Emergency Medicine Physician
- Overland Park, KS
- NPI 1861812869
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417651200000",
"number": "1497168041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12256 STATE LINE RD.",
"city": "LEAWOOD",
"state": "KS",
"postal_code": "66209",
"telephone_number": "913-345-9888",
"fax_number": "913-345-0958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12256 STATE LINE RD.",
"city": "LEAWOOD",
"state": "KS",
"postal_code": "66209",
"telephone_number": "913-345-9888",
"fax_number": "913-345-0958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "BROOKE",
"middle_name": "MARIE",
"credential": "APRN-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-10",
"last_updated": "2014-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KS",
"license": "5376259101",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KS",
"license": "13-111661-101",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "KA3281001",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BROOKE",
"last_name": "MCGOVERN",
"middle_name": "MARIE",
"prefix": "MISS",
"credential": "APRN-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Leawood, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.