Active NPI
Brooke Nicole Nola
- Family Nurse Practitioner
- Dedham, MA
National Provider Identifier
1851114201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN2354305
- Practice address
- 118 Bridge St
Dedham, MA 02026-1758 - Phone
- (716) 863-1915
- NPI assigned
- Nov 4, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN2354305 | MA | Primary |
| Medical-Surgical Registered Nurse | 163WM0705X | RN2354305 | MA |
Addresses
Primary practice location
118 Bridge St
Dedham, MA 02026-1758
Mailing address
118 Bridge St Apt 301
Dedham, MA 02026-1758
Phone (716) 863-1915
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2354305 | MA | MD | Medical-Surgical Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785369600000",
"number": "1851114201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 BRIDGE ST APT 301",
"city": "DEDHAM",
"state": "MA",
"postal_code": "020261758",
"telephone_number": "716-863-1915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 BRIDGE ST",
"city": "DEDHAM",
"state": "MA",
"postal_code": "020261758",
"telephone_number": "716-863-1915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOLA",
"first_name": "BROOKE",
"middle_name": "NICOLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-04",
"last_updated": "2026-07-30",
"certification_date": "2026-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN2354305",
"primary": true
},
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "MA",
"license": "RN2354305",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dedham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.