Kaira Broomfield

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

15430 Joe Louis CT
Fort Myers, FL 33908-2676

Phone

(229) 223-5127

NPI assigned

Mar 5, 2018

Last updated

Mar 5, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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": "1520208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520208000000",
    "number": "1841792009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15430 JOE LOUIS CT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339082676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15430 JOE LOUIS CT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339082676",
            "telephone_number": "229-223-5127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOMFIELD",
        "first_name": "KAIRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-05",
        "last_updated": "2018-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooks Eye Care LLC
• Crystal Anita Brooks, PH.D.
• Jordan Trotter Brooks, O.D.
• Kevin George Brooks, O.D.
• Stephanie Brooks
• Kimberly A Brown-Lupia, PHD
• Alan L Brown Jr., M.D.
• Ameena Brown
• Ann Marie Brown, R.N.
• Anthony Christian Brown, M.D.

• Behavior Analyst in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.