Individual provider Active NPI

Brooke McDaniel, NP

  • Nurse Practitioner
  • Christiansburg, VA
National Provider Identifier
1871085753
Registry record updated Aug 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024176180 Issued in VA
Practice address
2900 Lamb Cir Ste 250
Christiansburg, VA 24073
Phone
(540) 639-9071
NPI assigned
Jun 5, 2018
Last updated
Aug 22, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024176180 VA Primary
Registered Nurse 163W00000X 0001251486 VA

Addresses

Primary practice location

2900 Lamb Cir Ste 250
Christiansburg, VA 24073

Mailing address

2900 Lamb Cir Ste 250
Christiansburg, VA 24073-6345
Phone (540) 639-9071

Other names 1

  • Brooke Barnette Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20181101003125 VA Practitioner - Nurse Practitioner 5193078400 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0001251486VAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Health Corporation CurrentSince Jan 6, 2020 Accepting new patients
Good Samaritan Hospice, Inc. CurrentSince May 7, 2023 Accepting new patients
Good Samaritan Hospice, Inc. CurrentSince May 7, 2023 Accepting new patients

Locations

4751 Cove Rd NW
Roanoke, VA 24017
Phone (540) 293-3305

1945 Roanoke Blvd
Salem, VA 24153
Phone (540) 345-3094

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534896000000",
    "number": "1871085753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 LAMB CIR STE 250",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240736345",
            "telephone_number": "540-639-9071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 LAMB CIR STE 250",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "24073",
            "telephone_number": "540-639-9071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "BROOKE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-05",
        "last_updated": "2018-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024176180",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001251486",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROOKE",
            "last_name": "BARNETTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Christiansburg, VA

Sources for this page

Verify at the official NPI Registry.