Active NPI
Elizabeth Kay Brooks, FNP-C
- Family Nurse Practitioner
- Peoria, AZ
National Provider Identifier
1598870222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN058707
- Practice address
- 13090 N 94TH Dr Ste 204
Peoria, AZ 85381-4258 - Phone
- (623) 972-3335
- Fax
- (623) 972-2453
- NPI assigned
- Aug 21, 2006
- Last updated
- Dec 24, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN058707 | AZ | Primary |
Addresses
Primary practice location
13090 N 94TH Dr Ste 204
Peoria, AZ 85381-4258
Mailing address
13090 N 94TH Dr Ste 204
Peoria, AZ 85381-4258
Phone (623) 972-3335
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN058707 | Other | AZ | LICENSE |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 239 | AZ | MD | Psychologist |
| RN058707 | AZ | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1230076800000",
"number": "1598870222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13090 N 94TH DR STE 204",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853814258",
"telephone_number": "623-972-3335",
"fax_number": "623-972-2453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13090 N 94TH DR STE 204",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853814258",
"telephone_number": "623-972-3335",
"fax_number": "623-972-2453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "ELIZABETH",
"middle_name": "KAY",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-21",
"last_updated": "2008-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "RN058707",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "RN058707",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, AZ
- Taylor Brock, LAC
- Shannon Brodala
- Broken Chains Christian Counseling,Inc.
- Brookdale Senior Living Communities, Inc. (Brookdale Peoria)
- Charles Christopher Brooker, D.O.
- Judith Amelia Brooks, RN
- Tausha J Brooks, APRN FNP-C
- Ann Marie Brophy, PHARM.D, RPH
- Brother and Sister LLC (Brother & Sister LLC)
- John J Brothwell, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.