Michele L Brooks, CNS

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT07317 Issued in TX

Practice address

4004 82ND St
Lubbock, TX 79423-1900

Phone

(806) 722-3110

Fax

(806) 722-3115

NPI assigned

Jun 30, 2006

Last updated

Feb 25, 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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist

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.

• Brooksgate Inc.

  • Registered Dietitian
  • Lubbock, TX
  • NPI 1952672578
  Authorized official Same address or phone
• Fay Nutrition

  • Registered Dietitian
  • San Francisco, CA
  • NPI 1104334465

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456358400000",
    "number": "1851329346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16881",
            "address_2": "STE 35",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794906881",
            "telephone_number": "806-252-1507",
            "fax_number": "806-785-4929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4004 82ND ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794231900",
            "telephone_number": "806-722-3110",
            "fax_number": "806-722-3115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "MICHELE",
        "middle_name": "L",
        "credential": "CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2016-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT07317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172561601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dan Brodie
• Walter C Brogan III, MD
• Amie Brogden, FNP
• Bradley Derl Brooks, DDS
• Lori Brooks, RBT
• Sarah Brooks, PT, DPT
• Brooksgate Inc.
• Krista Broom
• Edward Lindsay Broome, MD
• Donald Leroy Brothers, LMSW

• Registered Dietitian in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.