Pollee Hruby Brookings, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

201401567NP-PP Issued in OR

Practice address

3181 SW Sam Jackson Park Rd # CDW7
Portland, OR 97239-3098

Phone

(503) 494-4122

NPI assigned

Oct 5, 2012

Last updated

Dec 3, 2018By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Interoperability endpoints

• Direct secure messaging: phruby86527@direct.ohsu.edu

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.

• University Professional Services

  dba University Professional Services in Medford

  • Pediatrics Physician
  • Medford, OR
  • NPI 1225282122
  NPD (past)

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

{
    "created_epoch": "1349395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543795200000",
    "number": "1811249592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD # CDW7",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393098",
            "telephone_number": "503-494-4122",
            "fax_number": "207-346-8159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD # CDW7",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393098",
            "telephone_number": "503-494-4122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKINGS",
        "first_name": "POLLEE",
        "middle_name": "HRUBY",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-05",
        "last_updated": "2018-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OR",
            "license": "201401567NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karlaina Matthews Brooke, PSY.D.
• Riley Brookens, LCSW, CADC-II
• Kathleen F Brookfield, M.D., PH.D.
• Vanessa D Brookhouse, LPC
• Lisa M. Brooking, LMT
• Brooklyn Community Acupuncture and Wellness, LLC
• Brooklyn PDX Acupuncture LLC
• Samuel Kevin Brookmyer
• Leah Faith Brookner, MA, MSW
• Alexandra Ann Brooks

• Pediatric Nurse Practitioner in Portland, OR
• Providers in Portland, OR by specialty
• Pediatric Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.