Active NPI
Robin Brooks
- Home Health Aide
- Plantation, FL
National Provider Identifier
1558817841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 234401
- Practice address
- 6299 W Sunrise Blvd
Suite 211C
Plantation, FL 33313-6180 - Phone
- (954) 643-6443
- Fax
- (954) 578-2165
- NPI assigned
- Aug 28, 2016
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 210676 | FL | |
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | 234401 | FL | |
| Licensed Practical Nurse | 164W00000X | 234401 | FL | |
| Adult Companion | 372600000X | 234401 | FL | |
| Home Health Aide | 374U00000X | 234401 | FL | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | 23 | FL |
Addresses
Primary practice location
6299 W Sunrise Blvd
Suite 211C
Plantation, FL 33313-6180
Mailing address
6229 W Sunrise Blvd
Suite 211C
Sunrise, FL 33313-0000
Phone (954) 643-6443
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 210676 | FL | MD | Registered Nurse |
| 234401 | FL | MD | Adult Companion |
| 23 | FL | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elohim Complete Wellbeing Corporation | Current | Accepting new patients |
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.
-
- Medically Fragile Infants and Children Day Care
- Kansas City, MO
- NPI 1124744578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472342400000",
"number": "1558817841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6229 W SUNRISE BLVD",
"address_2": "SUITE 211C",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333130000",
"telephone_number": "954-643-6443",
"fax_number": "954-578-2165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6299 W SUNRISE BLVD",
"address_2": "SUITE 211C",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333136180",
"telephone_number": "954-643-6443",
"fax_number": "954-578-2165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "ROBIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-28",
"last_updated": "2016-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "210676",
"primary": false
},
{
"code": "163WA0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Addiction (Substance Use Disorder)",
"state": "FL",
"license": "234401",
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "FL",
"license": "234401",
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "FL",
"license": "234401",
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "FL",
"license": "234401",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": "23",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.