Kaitlyn Arlene Brooks, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

05179 Issued in OH

Practice address

623 Park Meadow Rd
Westerville, OH 43081-2876

Phone

(614) 384-0440

NPI assigned

Sep 13, 2022

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1639891146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8174 ROSABERRY RUN",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430815608",
            "telephone_number": "614-906-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 PARK MEADOW RD",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430812876",
            "telephone_number": "614-384-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "KAITLYN",
        "middle_name": "ARLENE",
        "name_prefix": "Miss",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "05179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPTACTIC",
            "identifier": "05179",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drkbrooks@westervillehealthcare.com",
            "affiliation": "N",
            "address_1": "623 Park Meadow Rd",
            "city": "Westerville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430812876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• John Alex Brockman, M.D.
• Brookdale Homecare LLC
• Brookdale Recovery LLC
• Brookdale Seniorcare LLC
• Brandi Brooks, RBT
• Robert J Brooks, DC
• Brookstone Dental, Inc.
• Jeffrey Brosnahan
• Brown Bag 1, LLC (In The Bag Massage)
• Brown Family Logistics

• Chiropractor in Westerville, OH
• Providers in Westerville, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.