Active NPI
Tanya Lee Brooks, RN, MSN, FNP-BC
- Family Nurse Practitioner
- Flint, MI
National Provider Identifier
1528371028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704189065
- Practice address
- 2700 Robert T Longway Blvd
Suite H
Flint, MI 48503-2190 - Phone
- (810) 235-1746
- Fax
- (810) 262-2333
- NPI assigned
- Jul 26, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704189065 | MI | Primary |
Addresses
Primary practice location
2700 Robert T Longway Blvd
Suite H
Flint, MI 48503-2190
Mailing address
2700 Robert T. Longway
Suite H
Flint, MI 48503
Phone (810) 235-1746
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280102400000",
"number": "1528371028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 ROBERT T. LONGWAY",
"address_2": "SUITE H",
"city": "FLINT",
"state": "MI",
"postal_code": "48503",
"telephone_number": "810-235-1746",
"fax_number": "810-262-2333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 ROBERT T LONGWAY BLVD",
"address_2": "SUITE H",
"city": "FLINT",
"state": "MI",
"postal_code": "485032190",
"telephone_number": "810-235-1746",
"fax_number": "810-262-2333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "TANYA",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "RN, MSN, FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-26",
"last_updated": "2010-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704189065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; 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.