Sarah Brooks
Individual provider Active NPI Adult Health Nurse Practitioner · Rocky Hill, CT
NPI 1578956405 · NPPES record last updated Mar 17, 2015
Key facts
- NPI
- 1578956405
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 005911 (CT)
- Practice address
- 400 Capital Blvd
3Rd Floor
Rocky Hill, CT 06067-3576 - Phone
- (860) 221-0791
- NPI assigned
- Mar 17, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150603002429 | CT | Order and Referring Only - Nurse Practitioner | 8224359104 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005911 | CT | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Care Services Company | Adult Health | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 005911 | CT | Yes |
Addresses
Primary practice location
400 Capital Blvd
3Rd Floor
Rocky Hill, CT 06067-3576
Mailing address
400 Capital Blvd
3Rd Floor
Rocky Hill, CT 06067-3576
Phone (203) 313-1436
Other names
- Sarah Murray
Other providers in Rocky Hill, CT
- Beth Bonaiuto
- Thomas A Bondarchuk
- Michael Boniello
- Holly B Bradley
- Dalia Raquel Broderick
- Amy E Bruce
- Karen Bruck
- Alison Bruns
- Bunny Home Care Connecticut Incorporated
- Michelle Buonanno
All providers in Rocky Hill, CT · Adult Health Nurse Practitioner in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.