Individual provider Active NPI

Ada Lynn Brooks, FNP-C

  • Family Nurse Practitioner
  • Apopka, FL
National Provider Identifier
1699970400
Registry record updated May 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP 2158492 Issued in FL
Practice address
1000 Maple CT
Apopka, FL 32703-1599
Phone
(407) 703-4079
NPI assigned
Jun 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP 2158492 FL Primary

Addresses

Primary practice location

1000 Maple CT
Apopka, FL 32703-1599

Mailing address

1000 Maple Court
Apopka, FL 32703
Phone (407) 703-4079

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081208000144 FL Practitioner - Nurse Practitioner 6901967058 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP 2158492FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
VMD Primary Providers Central Florida PLLC CurrentSince Aug 30, 2022 Accepting new patients
VMD Primary Providers Central Florida PLLC CurrentSince Aug 30, 2022 Accepting new patients
Carelon Medical Partners of Kansas, PA Past Accepting new patients
VMD Primary Providers Central Florida PLLC PastSince May 8, 2022 Accepting new patients
The Healthcaring Clinic of Florida, LLC Family Past Accepting new patients

Locations

4404 S Highway 27
Clermont, FL 34711

13700 E Colonial Dr
Orlando, FL 32826
Phone (407) 382-1948

2251 N Semoran Blvd
Ste 100
Orlando, FL 32807

1060 Woodcock Rd
Ste 128
Orlando, FL 32803
Phone (346) 980-2725

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400025600000",
    "number": "1699970400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 MAPLE COURT",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "32703",
            "telephone_number": "407-703-4079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MAPLE CT",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327031599",
            "telephone_number": "407-703-4079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "ADA",
        "middle_name": "LYNN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-20",
        "last_updated": "2014-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 2158492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apopka, FL

Sources for this page

Verify at the official NPI Registry.