Tanisha Brooks, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5012145 Issued in NC

Practice address

301 S Church St Ste 238
Rocky Mount, NC 27804-5755

Phone

(252) 228-4448

NPI assigned

Nov 16, 2018

Sex

Female

Sole proprietor

Yes

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1542326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1740759950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14611 BROTHERLY LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282787876",
            "telephone_number": "704-307-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S CHURCH ST STE 238",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278045755",
            "telephone_number": "252-228-4448"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14611 Brotherly Ln",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282787876",
            "country_code": "US",
            "telephone_number": "704-307-9900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "TANISHA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-16",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "175327",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5012145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brockington Transportation LLC
• Calvin Brockington
• Brookdale Senior Living Communities, Inc.
• Brooke Earl Care Foundation
• Susan C Brooks, MS, LMFT
• David Allen Browder, MD
• Lesley B Browder, MD
• Alexis Nichole Brown, DDS
• Amanda Brown
• Artimus Brown, DMD

• Family Nurse Practitioner in Rocky Mount, NC
• Providers in Rocky Mount, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.