Brooke Nicole-Hayes Massenburg, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5012064 Issued in NC

Practice address

31 E Main Ave
Taylorsville, NC 28681-2540

Phone

(704) 872-0234

NPI assigned

Jul 29, 2019

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

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Addiction Recovery Medical Services - Providers

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  • Statesville, NC
  • NPI 1669663175
  Medicare reassignment NPD
• Addiction Recovery Medical Services

  • Community/Behavioral Health Agency
  • Statesville, NC
  • NPI 1487887949
  NPD

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564358400000",
    "number": "1861046773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 E MAIN AVE",
            "city": "TAYLORSVILLE",
            "state": "NC",
            "postal_code": "286812540",
            "telephone_number": "704-872-0234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 E MAIN AVE",
            "city": "TAYLORSVILLE",
            "state": "NC",
            "postal_code": "286812540",
            "telephone_number": "704-872-0234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "298 Fesperman Cir",
            "address_purpose": "LOCATION",
            "city": "Troutman",
            "state": "NC",
            "postal_code": "281663400",
            "country_code": "US",
            "telephone_number": "704-682-8124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASSENBURG",
        "first_name": "BROOKE",
        "middle_name": "NICOLE-HAYES",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-29",
        "last_updated": "2019-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5012064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amie Lumpkin
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• Sheila Yasmine Martinez, MSW
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• Breanna McCann
• Cristal McKinney, COTA/L
• McKinnon Eye Clinic, P.a.
• Judy Daniels McLaughlin, LPC NCC

• Family Nurse Practitioner in Taylorsville, NC
• Providers in Taylorsville, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.