Sherry Brooks

Primary specialty

DriverTaxonomy code 172A00000X

License

F200359001 Issued in MO

Practice address

5411 S Grand Blvd
Saint Louis, MO 63111-1805

Phone

(131) 449-3405

Fax

(314) 480-7155

NPI assigned

Jan 11, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Loving Angels Adult Day Center

  • Adult Day Care Clinic/Center
  • Saint Louis, MO
  • NPI 1033772991
  NPD Authorized official
• Loving Angels Home Care Services LLC

  • Home Health Agency
  • Saint Louis, MO
  • NPI 1326508052
  NPD Authorized official
• Loving Angels Home Care Services LLC

  • Home Health Agency
  • Saint Louis, MO
  • NPI 1972991974
  NPD Authorized official

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

{
    "created_epoch": "1641859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1619628708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5411 S GRAND BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631111805",
            "telephone_number": "131-449-3405",
            "fax_number": "314-480-7155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5411 S GRAND BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631111805",
            "telephone_number": "131-449-3405",
            "fax_number": "314-480-7155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "SHERRY",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-11",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "MO",
            "license": "F200359001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "844157164",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Lovingangelsllc@yahoo.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Lovingangelsllc@yahoo.com",
            "address_1": "5411 S Grand Blvd",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631111805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Leslie Sara Brooks, ACNP
• Lisa Brooks, NURSE PRATITIONER
• Martha Mary Brooks, ANP
• Natalie Ann Brooks, PHARM.D.
• Paulett Brooks
• Matthew A Broom, MD
• Jennifer Brophy
• Robert Henry Brophy IV, MD
• Sirisha Vaddi Brosch, M.D.
• Katherine Bross, DPT

• All providers in Saint Louis, MO
• Driver in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.