Kimbra Michelle Brooks, MS, RD, LD, CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

652 Issued in AR

Practice address

500 S University Ave Ste 615
Little Rock, AR 72205-5308

Phone

(501) 666-3666

NPI assigned

Nov 16, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550534400000",
    "number": "1740353143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 PLEASANT HILL RD",
            "city": "ROCKPORT",
            "state": "AR",
            "postal_code": "721042179",
            "telephone_number": "501-337-2689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S UNIVERSITY AVE STE 615",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055308",
            "telephone_number": "501-666-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "KIMBRA",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "MS, RD, LD, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2019-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AR",
            "license": "652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asia Brooks
• Bethany Joann Brooks, BCBA
• Gloria Jean Brooks
• Julia Brooks, RD
• Kathryn Brooks, LPC
• Brookside Drive Operating LLC (The Blossoms at Breckenridge Rehab & Nursing Center)
• Brookside Health Services
• Brookside Healthcare & Rehab, LLC (Brookside Health and Rehabilitation Center)
• Lee Ann Brosh, M.A, CCC-SLP
• Amber Brossett, LCSW

• Registered Dietitian in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Registered Dietitian in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; 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.