Brooke Amelia Mader

Primary specialty

NutritionistTaxonomy code 133N00000X

Practice address

414 2ND St Apt 330
Hermosa Beach, CA 90254-4610

Phone

(301) 996-2927

NPI assigned

Sep 19, 2019

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

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590537600000",
    "number": "1740830843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 2ND ST APT 330",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902544610",
            "telephone_number": "301-996-2927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 2ND ST APT 330",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902544610",
            "telephone_number": "301-996-2927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADER",
        "first_name": "BROOKE",
        "middle_name": "AMELIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-19",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashlyn Lussier, LMFT
• Margaret Mary Lynch, OTR/L
• Nicole Lystne, M.A, M.S, CCC-SLP
• Stella Ma, O.D.
• Cynthia Garcia Macdougall
• Christopher J Madrid, AMFT
• Yukari Makino, PH.D
• Magie M. Malaro, MD
• Casey Manchester, MA CCC SLP
• Kelsey Mann, DPT, PT

• Nutritionist in Hermosa Beach, CA
• Providers in Hermosa Beach, CA by specialty
• Nutritionist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.