Active NPI
Aaron Brooks, ARNP
- Psychiatric/Mental Health Nurse Practitioner
- St Petersburg, FL
National Provider Identifier
1760459861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- ARNP9295328
- Practice address
- 4024 Central Ave
Saint Petersburg, FL 33711-1239 - Phone
- (727) 327-7656
- Fax
- (727) 322-2110
- NPI assigned
- Mar 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 101022 | TN | |
| Family Nurse Practitioner | 363LF0000X | ARNP9295328 | FL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 7014 | TN | |
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X | ARNP9295328 | FL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | ARNP9295328 | FL | Primary |
Addresses
Primary practice location
4024 Central Ave
Saint Petersburg, FL 33711-1239
Mailing address
4024 Central Ave
Saint Petersburg, FL 33711-1239
Phone (727) 327-7656
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001495500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7014 | TN | MD | Mental Health Counselor |
| 101022 | TN | MD | Psychiatric/Mental Health Registered Nurse |
| ARNP9295328 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suncoast Center, Inc. | Current | Accepting new patients |
Locations
4024 Central Ave
St Petersburg, FL 33711
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- St Petersburg, FL
- NPI 1659371763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482278400000",
"number": "1760459861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4024 CENTRAL AVE",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337111239",
"telephone_number": "727-327-7656",
"fax_number": "727-322-2110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4024 CENTRAL AVE",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337111239",
"telephone_number": "727-327-7656",
"fax_number": "727-322-2110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "AARON",
"name_prefix": "Mr.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-07",
"last_updated": "2016-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "TN",
"license": "101022",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9295328",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TN",
"license": "7014",
"primary": false
},
{
"code": "364SP0808X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
"state": "FL",
"license": "ARNP9295328",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "ARNP9295328",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001495500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.