Individual provider Active NPI

Holly Beth Brooks, LPN

  • Licensed Practical Nurse
  • Ironton, OH
National Provider Identifier
1740617034
Registry record updated Oct 1, 2013
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective May 19, 2016.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN. 129906 Issued in OH
Practice address
96 Private Drive 426
County Road 7a
Ironton, OH 45638-8340
Phone
(740) 532-3796
NPI assigned
Oct 1, 2013
Last updated
Oct 1, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN. 129906 OH Primary

Addresses

Primary practice location

96 Private Drive 426
County Road 7a
Ironton, OH 45638-8340

Mailing address

96 Private Drive 426
County Road 7a
Ironton, OH 45638-8340
Phone (740) 532-3796

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
PN. 129906OHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1380585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380585600000",
    "number": "1740617034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 PRIVATE DRIVE 426",
            "address_2": "COUNTY ROAD 7A",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456388340",
            "telephone_number": "740-532-3796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 PRIVATE DRIVE 426",
            "address_2": "COUNTY ROAD 7A",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456388340",
            "telephone_number": "740-532-3796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "HOLLY",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-01",
        "last_updated": "2013-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN. 129906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ironton, OH

Sources for this page

Verify at the official NPI Registry.