Active NPI
Linda Sue Brooks, MS, RD, CDE
- Registered Dietitian
- Lexington, KY
National Provider Identifier
1871777458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 171063
- Practice address
- 2195 Harrodsburg Rd Ste 125
Lexington, KY 40504-3504 - Phone
- (859) 323-2232
- Fax
- (859) 257-0659
- NPI assigned
- Dec 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 123514 | KY | |
| Registered Dietitian | 133V00000X | KY-0300 | KY | |
| Registered Dietitian | 133V00000X | 171063 | KY | Primary |
Addresses
Primary practice location
2195 Harrodsburg Rd Ste 125
Lexington, KY 40504-3504
Mailing address
1594 Harrodsburg Rd
Lexington, KY 40504-3704
Phone (859) 313-4297
Other practice location 1
1594 Harrodsburg Rd
Lexington, KY 40504-3704
Phone (859) 313-4297
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 123514 | KY | MD | Registered Dietitian |
| 171063 | KY | MD | Registered Dietitian |
| KY-0300 | KY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1871777458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1594 HARRODSBURG RD",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405043704",
"telephone_number": "859-313-4297",
"fax_number": "859-313-3132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2195 HARRODSBURG RD STE 125",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405043504",
"telephone_number": "859-323-2232",
"fax_number": "859-257-0659"
}
],
"practiceLocations": [
{
"address_1": "1594 Harrodsburg Rd",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405043704",
"country_code": "US",
"telephone_number": "859-313-4297",
"fax_number": "859-313-3132",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROOKS",
"first_name": "LINDA",
"middle_name": "SUE",
"name_prefix": "Mrs.",
"credential": "MS, RD, CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-19",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "KY",
"license": "123514",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "KY",
"license": "KY-0300",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "KY",
"license": "171063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.