Brooke Lindsay Owen, B.S. IN KINESIOLOGY:

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

1300 N. Kraemer Blvd
Anaheim, CA 92806

Phone

(714) 630-6363

Fax

(714) 630-6318

NPI assigned

May 23, 2018

Sex

Female

Sole proprietor

No

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)

Not enrolled

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527033600000",
    "number": "1780175968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N KRAEMER BLVD",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92806",
            "telephone_number": "714-630-6363",
            "fax_number": "714-630-6318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N. KRAEMER BLVD",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92806",
            "telephone_number": "714-630-6363",
            "fax_number": "714-630-6318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEN",
        "first_name": "BROOKE",
        "middle_name": "LINDSAY",
        "name_prefix": "Ms.",
        "credential": "B.S. IN KINESIOLOGY:",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-23",
        "last_updated": "2018-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith Outlaw
• Noubar K. Ouzounian, MD
• Tracy L Ouzounian, CRNA
• Stacy Overby
• Elizabeth Oviedo
• Jillian Taeko Fujie Sueko Owens
• Viola Denise Owens
• Soroor Owrangi, MD
• Yesenia Oxlaj
• Richard I Oxman, M.D.

• Athletic Trainer in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; 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.