Individual provider Active NPI

Brooke Wood, APRN

  • Family Nurse Practitioner
  • Provo, UT
National Provider Identifier
1780365767
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10079036-4405 Issued in UT
Practice address
1055 N 300 W Ste 401
Provo, UT 84604-3306
Phone
(801) 357-7499
NPI assigned
Jul 31, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 10079036-4405 UT Primary

Addresses

Primary practice location

1055 N 300 W Ste 401
Provo, UT 84604-3306

Mailing address

1055 N 300 W Ste 311
Provo, UT 84604-3373
Phone (801) 680-7337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231004000225 UT Practitioner - Nurse Practitioner 8123472586 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
10079036-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peak ENT Associates CurrentSince Aug 19, 2023 Accepting new patients

Locations

3000 N Triumph Blvd
Ste 260
Lehi, UT 84043
Phone (385) 287-6070

3668 W 2150 N
Ste 300
Lehi, UT 84048

48 W 1500 N
Nephi, UT 84648
Phone (435) 623-3000

1055 N 300 W
Ste 303
Provo, UT 84604
Phone (801) 356-1300

1055 N 300 W
Ste 302
Provo, UT 84604
Phone (801) 357-2534

1055 N 300 W
Ste 211
Provo, UT 84604
Phone (801) 852-9684

1055 N 300 W
Ste 311
Provo, UT 84604
Phone (385) 477-6800

1055 N 300 W
Ste 401
Provo, UT 84604
Phone (801) 375-4646

1055 N 300 W
Ste 308
Provo, UT 84604
Phone (801) 357-7327

692 E Market Place Dr
Ste 201
Spanish Fork, UT 84660
Phone (385) 448-0446

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1780365767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 N 300 W STE 311",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043373",
            "telephone_number": "801-680-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 N 300 W STE 401",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043306",
            "telephone_number": "801-357-7499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "BROOKE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-31",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "10079036-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

Verify at the official NPI Registry.