Kira Yvonne Brooks

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN.119887.MEDS-IV Issued in OH

Practice address

10283 Walnut Dowler Rd
Logan, OH 43138-8551

Phone

(174) 027-9631

NPI assigned

Oct 20, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1700549318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10283 WALNUT DOWLER RD",
            "city": "LOGAN",
            "state": "OH",
            "postal_code": "431388551",
            "telephone_number": "174-027-9631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10283 WALNUT DOWLER RD",
            "city": "LOGAN",
            "state": "OH",
            "postal_code": "431388551",
            "telephone_number": "174-027-9631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "KIRA",
        "middle_name": "YVONNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-20",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "LPN.119887.MEDS-IV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Barney",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "10283 Walnut Dowler Rd",
            "city": "Logan",
            "state": "OH",
            "country_code": "US",
            "postal_code": "431388551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alyssa Noel Brandon, PTA
• Mary Ann Branson
• Debra Lynn Broderick, CDCA
• Erin M Brooks-Smith, CDCA
• Kelsey Brooks, RPH TECH
• Sara Brooks
• Jennifer Paige Brown, RN
• Jillian Brown, CMA
• Rachael Brown
• Samuel Arthur Brown, RN

• Licensed Practical Nurse in Logan, OH
• Providers in Logan, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.