Active NPI
Cynthia Brooks, R.N.
- Community Health Registered Nurse
- Santo Domingo, NM
National Provider Identifier
1639579352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- 89933
- Practice address
- 85 West Highway 22 Santo Domingo Health Center
Santo Domingo, NM 87052 - Phone
- (505) 465-3060
- NPI assigned
- Aug 29, 2014
- 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 |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 89933 | TN | Primary |
Addresses
Primary practice location
85 West Highway 22 Santo Domingo Health Center
Santo Domingo, NM 87052
Mailing address
85 West Highway 22 Santo Domingo Health Center
PO Box 340
Santo Domingo, NM 87052
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 89933 | TN | MD | Community Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409270400000",
"number": "1639579352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 WEST HIGHWAY 22 SANTO DOMINGO HEALTH CENTER",
"address_2": "PO BOX 340",
"city": "SANTO DOMINGO",
"state": "NM",
"postal_code": "87052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 WEST HIGHWAY 22 SANTO DOMINGO HEALTH CENTER",
"city": "SANTO DOMINGO",
"state": "NM",
"postal_code": "87052",
"telephone_number": "505-465-3060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "CYNTHIA",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-29",
"last_updated": "2014-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "TN",
"license": "89933",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santo Domingo, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.