Brooke Elizabeth Deeringer

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

1425 W Lincoln Hwy
Dekalb, IL 60115-2825

Phone

(815) 557-1218

NPI assigned

Jan 25, 2020

Last updated

Sep 28, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1579910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1720618028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 HOLDEN AVE",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604461504",
            "telephone_number": "815-557-1218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 W LINCOLN HWY",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601152825",
            "telephone_number": "815-557-1218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEERINGER",
        "first_name": "BROOKE",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-25",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Devine Davidson, M.A., CCC-SLP
• Dori De la Cruz, LCSW
• Ariana De Neveu, BCBA
• Mahum Ayaz Deamantopulos, LSW
• Katherine Dean, RDN
• Suzanne Elizabeth Degges-White, PHD, LCPC, LMHC, LCM
• Dekalb Area Retirement Center
• Dekalb Behavioral Health Foundation, Inc. (Northwestern Medicine Ben Gordon Center)
• Dekalb Behavioral Health Foundation, Inc. (Northwestern Medicine Ben Gordon Center)
• Dekalb Behavioral Health Foundation, Inc. (Northwestern Medicine Ben Gordon Center)

• Student in an Organized Health Care Education/Training Program in Dekalb, IL
• Providers in Dekalb, IL by specialty
• Student in an Organized Health Care Education/Training Program in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.