Kyra Brooks, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP50180 Issued in MD

Practice address

505 Dutchmans LN Ste B2
Easton, MD 21601-4302

Phone

(410) 763-9040

NPI assigned

Jul 26, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• BNJ Counseling Services, LLC

  • Health Service Clinic/Center
  • Baltimore, MD
  • NPI 1194279356
  NPD

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1497428593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 DUTCHMANS LN STE B2",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216014302",
            "telephone_number": "410-763-9040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 DUTCHMANS LN STE B2",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216014302",
            "telephone_number": "410-763-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "KYRA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-26",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MD",
            "license": "LP50180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NONE",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EASTON",
            "affiliation": "N",
            "address_1": "505 Dutchmans Ln Ste B2",
            "city": "Easton",
            "state": "MD",
            "country_code": "US",
            "postal_code": "216014302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mary Beth Brinsfield, PMHNP-BC
• Christina Brinster, LGPC
• Barbara Brittell, PAC
• Juli Britton, OT
• Lisa Mariane Bronaugh, NP
• William Saunders Brooks, D.C.
• Donald E Broskey, D.M.D.
• Sarah Broussard
• Alexa Marie Brown, M.S., OTR/L
• Belinda Brown

• Licensed Practical Nurse in Easton, MD
• Providers in Easton, MD by specialty
• Licensed Practical Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.