Organization Active NPI

RC Brooks Consulting LLC

Doing business as Blueprint Diabetes Management & Consulting

  • Family Nurse Practitioner
  • Windsor, CT
National Provider Identifier
1578207346
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
RC BROOKS CONSULTING LLC
Doing business as
Blueprint Diabetes Management & Consulting
Practice address
11 Taverner Rd
Windsor, CT 06095-1749
Phone
(860) 951-4140
Fax
(860) 300-8465
NPI assigned
Apr 26, 2022
Last updated
Sep 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Authorized official

Name
Rushickah Brooks, NPNPI 1093267981
Title
Owner
Phone
(860) 951-4140

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diabetes Educator Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WD0400X
Clinic/Center 261Q00000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

11 Taverner Rd
Windsor, CT 06095-1749

Mailing address

14 Hazard Ave Ste 23
Enfield, CT 06082-3713
Phone (860) 951-4140

Other names 1

  • Blueprint Diabetes Management & Consulting Doing business as

National Provider Directory

National Provider Directory

Locations

14 Hazard Ave
Ste 23
Enfield, CT 06082
Phone (860) 316-4594

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1578207346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 HAZARD AVE STE 23",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060823713",
            "telephone_number": "860-951-4140",
            "fax_number": "860-300-8465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 TAVERNER RD",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060951749",
            "telephone_number": "860-951-4140",
            "fax_number": "860-300-8465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RC BROOKS CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-26",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "RUSHICKAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-951-4140",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blueprint Diabetes Management & Consulting",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Blueprint Diabetes Management & Consulting",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Windsor, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.