Julie Lynne Brooks, APRN
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Springdale, AR
NPI 1689397952 · NPPES record last updated Jun 25, 2024
Key facts
- NPI
- 1689397952
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 221675 (AR)
- Practice address
- 4700 S Thompson St Ste C103
Springdale, AR 72764-2558 - Phone
- (479) 571-6363
- NPI assigned
- Sep 22, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221005002135 | AR | Practitioner - Nurse Practitioner | 6608252291 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 221675 | AR | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Associates of Northwest Arkansas, PA | Current | Accepting new patients | |
| Medical Associates of Northwest Arkansas PA | Current |
Accepting new patients | |
| Medical Associates of Northwest Arkansas PA | Current |
Accepting new patients | |
| Medical Associates of Northwest Arkansas PA | Past | Accepting new patients |
Locations
3383 N Mana Ct
Ste 201
Fayetteville, AR 72703
Phone (479) 571-6780
3344 N Futrall Dr
Fayetteville, AR 72703
Phone (479) 582-7213
4700 S Thompson St
Ste C103
Springdale, AR 72764
Phone (479) 571-6363
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 221675 | AR | Yes |
Addresses
Primary practice location
4700 S Thompson St Ste C103
Springdale, AR 72764-2558
Mailing address
PO Box 1523
Fayetteville, AR 72702-1523
Phone (479) 571-6038
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | julie.brooks@mana.eclinicaldirectplus.com | Direct |
Other providers in Springdale, AR
- Brittany Ilene Stroope DMD, MSD, Inc
- Natalie V Broadstreet
- Bradley Brock
- Robert C Brock
- Cassandra C Brockmann
- Theresa Ann Brooks
- Amy Dea Brookshire
- Angela R Broomfield
- Zachary Todd Brothers
- Anna Cassidy Brown
All providers in Springdale, AR · Psychiatric/Mental Health Nurse Practitioner in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.