Kim Monique Brooks, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

315240-1 Issued in NY

Practice address

14637 177TH St
Jamaica, NY 11434-5413

Phone

(347) 676-7643

NPI assigned

Sep 12, 2013

Last updated

Sep 12, 2013By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378944000000",
    "number": "1568897239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14637 177TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114345413",
            "telephone_number": "347-676-7643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14637 177TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114345413",
            "telephone_number": "347-676-7643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "KIM",
        "middle_name": "MONIQUE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-12",
        "last_updated": "2013-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "315240-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brookdale University Hospital
• Brooklyn Queens Occupational Therapy Consultants LLC
• Brooklyn Select Physician
• Natalie Brooks Wilson, LCSW
• Carol Brooks, LCSW
• Brothers Drug Corp (Variety Drugs)
• Sophia Brown-Buchanan
• Nishon Brown-Clarke
• Shirley Brown-Fernandez, SPECIAL ED. TEACHER
• Terryann Alicia Brown-Pollard, R,N.

• Licensed Practical Nurse in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; 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.