Brooke Anne Debeck, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1044411 Issued in MI

Practice address

829 Forest Hill Ave SE
Grand Rapids, MI 49546-2325

Phone

(616) 949-2410

NPI assigned

Aug 18, 2011

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

State licenses

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

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313625600000",
    "number": "1851671143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 FISK RD SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495063241",
            "telephone_number": "616-808-8276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 FOREST HILL AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462325",
            "telephone_number": "616-949-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBECK",
        "first_name": "BROOKE",
        "middle_name": "ANNE",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-18",
        "last_updated": "2011-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MI",
            "license": "1044411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Deason, PA-C
• Camria Renee Deaton, BSN, RN
• Carrie Debano
• Christopher M Debano, PA-C
• Braden Ross Debat
• Sierra Debenham
• Natalie Anne Debernardi, MD
• Bethany Grace Deblaay, LLP
• Adam Michael Deboe
• Alisha Esther Deboer, NP

• Registered Dietitian in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Registered Dietitian in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; 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.