Kelly C. Brooks, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024178701 Issued in VA

Practice address

1605 Westerly CT
Chesapeake, VA 23322-1285

Phone

(774) 238-2766

NPI assigned

Jan 7, 2021

Last updated

Oct 28, 2021By the provider in NPPES

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)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1669060331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 WESTERLY CT",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233221285",
            "telephone_number": "774-238-2766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 WESTERLY CT",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233221285",
            "telephone_number": "774-238-2766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "KELLY",
        "middle_name": "C.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-07",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024178701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitzi Britt
• Bethany Shannon Brittain, LMT
• Francis Lane Brittan Jr., RPH
• Monique Brock, PA
• Katherine Wingate Brooks, BS/MS/MDIV
• Megan Kelsey Brooks
• Sheila Brooks
• Brown Family Services LLC
• Abe J Brown III, LPC
• Abigail Brown

• Family Nurse Practitioner in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; 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.