Jacqueline Ann Brook, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

9212194 Issued in FL

Practice address

2965 Bee Ridge Rd
Sarasota, FL 34239-7114

Phone

(941) 706-2778

Fax

(941) 706-2823

NPI assigned

Jul 15, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Lotus Stress Relief L.L.C.

  • Health Service Psychologist
  • Sarasota, FL
  • NPI 1326202789
  NPD (past)

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216080000000",
    "number": "1659535011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2156 E LEEWYNN DR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342408791",
            "telephone_number": "941-377-4563",
            "fax_number": "941-377-4563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2965 BEE RIDGE RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342397114",
            "telephone_number": "941-706-2778",
            "fax_number": "941-706-2823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOK",
        "first_name": "JACQUELINE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-15",
        "last_updated": "2008-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9212194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Broderick
• Brad Stephen Broeder, PH.D.
• Diane Broehm
• Thomas Bronk, DO
• Gregory Bronner, D.O.
• Brookbridge HWSC LLC
• Brookdale Senior Living Communities, Inc.
• Crystal Lynn Brooks, LCSW
• Meghan Ruth Brooks, OTA/L
• Phillip Jay Brooks, LMHC

• Registered Nurse in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.

Verify at the official NPI Registry.