Sandra L Brooks, ARNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

2650922 Issued in FL

Practice address

533 N Nova Rd Ste 203
Ormond Beach, FL 32174-4422

Phone

(386) 672-7175

Fax

(386) 672-0771

NPI assigned

Jul 8, 2005

Last updated

Dec 22, 2016By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Behavioral Health of Ormond Beach

  • Psychiatric/Mental Health Nurse Practitioner
  • Ormond Beach, FL
  • NPI 1427247550
  Authorized official Same address or phone
• Yorkshire Mental Health Enterprises PA

  • Psychiatry Physician
  • Ormond Beach, FL
  • NPI 1003821497

  Psychiatric/Mental Health

  NPD (past)

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482364800000",
    "number": "1790783207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 N NOVA RD STE 203",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321744422",
            "telephone_number": "386-672-7175",
            "fax_number": "386-672-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 N NOVA RD STE 203",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321744422",
            "telephone_number": "386-672-7175",
            "fax_number": "386-672-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "SANDRA",
        "middle_name": "L",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-08",
        "last_updated": "2016-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "2650922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN Y4188Y",
            "identifier": "1790783207",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "305058100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bridgeview Center, LLC (Bridgeview Center)
• Cynthia Briere, LCSW
• Pamela Gayle Brodeur, COTA
• Patrick Paul Brodnik, MA, MS, PHD(C), LMHC
• Nancy Bromfield, LMHC
• Broome Vision Inc (Eyesavers)
• Brown and Chmielarski, D.M.D.,PA
• Blaine Brown, DC
• David Alan Brown, DMD
• Donna Jean Brown, DPM

• Psychiatric/Mental Health Nurse Practitioner in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; 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.