Active NPI
Quiona Cerisse Brooks, NP
- Family Nurse Practitioner
- New Haven, CT
National Provider Identifier
1629792593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11033
- Practice address
- 136 Sherman Ave
New Haven, CT 06511-5238 - Phone
- (203) 745-5660
- NPI assigned
- Oct 3, 2022
- Last updated
- Oct 3, 2022
- 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 | 11033 | CT | Primary |
Addresses
Primary practice location
136 Sherman Ave
New Haven, CT 06511-5238
Mailing address
136 Sherman Ave
New Haven, CT 06511-5238
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11033 | CT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| It Takes a Village Care LLC | Family | Current | Accepting new patients |
| Community Health and Wellness Center of Greater Torrington Inc | Current | Accepting new patients | |
| Community Health and Wellness Center of Greater Torrington Inc | Current | Accepting new patients | |
| Destination Psychiatry, PLLC | Past | Accepting new patients |
Locations
469 Migeon Ave
Torrington, CT 06790
Phone (860) 387-0439
10 Center St
Winsted, CT 06098
Phone (860) 238-4211
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Primary Care Clinic/Center
- Torrington, CT
- NPI 1356318091
-
- Family Nurse Practitioner
- Waterbury, CT
- NPI 1215731468
-
- Federally Qualified Health Center (FQHC)
- Winsted, CT
- NPI 1902757149
-
- Psychiatric/Mental Health Nurse Practitioner
- Waterbury, CT
- NPI 1386472850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664755200000",
"number": "1629792593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 SHERMAN AVE",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065115238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 SHERMAN AVE",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065115238",
"telephone_number": "203-745-5660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "QUIONA",
"middle_name": "CERISSE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-03",
"last_updated": "2022-10-03",
"certification_date": "2022-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "11033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.