Active NPI
Brooke Melanie Hullett, OT
- Occupational Therapist
- Knoxville, TN
National Provider Identifier
1508250325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5189
- Practice address
- 8024 Gleason Dr
Knoxville, TN 37919-5586 - Phone
- (865) 406-7129
- Fax
- (865) 951-7273
- NPI assigned
- Mar 19, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5189 | TN | Primary |
Addresses
Primary practice location
8024 Gleason Dr
Knoxville, TN 37919-5586
Mailing address
3243 Heritage Cir
Hendersonville, NC 28791-3553
Phone (828) 713-0560
Other names 1
- Brooke Ingle
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Bus Terminal Rd
Oak Ridge, TN 37830-6928
Phone (828) 713-0560
8024 Gleason Dr
Knoxville, TN 37919-5586
Phone (828) 713-0560
8501 S Northshore Dr
Knoxville, TN 37922-6006
Phone (828) 713-0560
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659571200000",
"number": "1508250325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3243 HERITAGE CIR",
"city": "HENDERSONVILLE",
"state": "NC",
"postal_code": "287913553",
"telephone_number": "828-713-0560",
"fax_number": "865-951-7273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8024 GLEASON DR",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379195586",
"telephone_number": "865-406-7129",
"fax_number": "865-951-7273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HULLETT",
"first_name": "BROOKE",
"middle_name": "MELANIE",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-19",
"last_updated": "2022-08-04",
"certification_date": "2022-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TN",
"license": "5189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BROOKE",
"last_name": "INGLE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.