Individual provider Active NPI

Stephanie Brooks

  • Private Vehicle
  • Cincinnati, OH
National Provider Identifier
1932821741
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Private VehicleTaxonomy code 347C00000X
License
JSC8690 Issued in OH
Practice address
311 Elm St Ste 270
Cincinnati, OH 45202-2781
Phone
(513) 506-0061
Fax
(513) 494-7882
NPI assigned
Sep 19, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Private Vehicle 347C00000X JSC8690 OH Primary

Addresses

Primary practice location

311 Elm St Ste 270
Cincinnati, OH 45202-2781

Mailing address

311 Elm St Ste 270
Cincinnati, OH 45202-2781
Phone (513) 506-0061

Other practice location 1

947 Cold Water Dr
Monroe, OH 45050-2549
Phone (407) 575-6480

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

State licenses

LicenseStateTypeSpecialty
JSC8690OHMDPrivate Vehicle

NPI Registry JSON

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1932821741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 ELM ST STE 270",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452022781",
            "telephone_number": "513-506-0061",
            "fax_number": "513-494-7882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 ELM ST STE 270",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452022781",
            "telephone_number": "513-506-0061",
            "fax_number": "513-494-7882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "947 Cold Water Dr",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "OH",
            "postal_code": "450502549",
            "country_code": "US",
            "telephone_number": "407-575-6480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "STEPHANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "OH",
            "license": "JSC8690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; 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.