Kelly C. Brooks, NP
Individual provider Active NPI Family Nurse Practitioner · Chesapeake, VA
NPI 1669060331 · NPPES record last updated Oct 28, 2021
Key facts
- NPI
- 1669060331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 0024178701 (VA)
- Practice address
- 1605 Westerly CT
Chesapeake, VA 23322-1285 - Phone
- (774) 238-2766
- NPI assigned
- Jan 7, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024178701 | VA | Yes |
Addresses
Primary practice location
1605 Westerly CT
Chesapeake, VA 23322-1285
Mailing address
1605 Westerly CT
Chesapeake, VA 23322-1285
Phone (774) 238-2766
Other providers in Chesapeake, VA
- Mitzi Britt
- Bethany Shannon Brittain
- Francis Lane Brittan Jr.
- Monique Brock
- Katherine Wingate Brooks
- Megan Kelsey Brooks
- Sheila Brooks
- Brown Family Services LLC
- Abe J Brown III
- Abigail Brown
All providers in Chesapeake, VA · Family Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.