Christy Camille Brooks, RD
Individual provider Active NPI Registered Dietitian · New Hope, AL
NPI 1952136236 · NPPES record last updated Sep 5, 2024
Key facts
- NPI
- 1952136236
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 5333 (AL)
- Practice address
- 110 Peter LN
New Hope, AL 35760-9100 - Phone
- (256) 783-6426
- NPI assigned
- Sep 5, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Surely Health Inc
Practice addresses (Care Compare)
130 E Congress St
Suite 200 139
Tucson, AZ 85701-1708
Phone (724) 307-5926
3480 Preston Ridge Rd
Suite 500
Alpharetta, GA 30005-5460
Phone (412) 287-4983
6565 N Macarthur Blvd
Suite 225
Irving, TX 75039-2482
Phone (888) 807-4117
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (9 enrollments) in TX, AZ, WI, DC, IA, NJ, GA, WA, AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250328001939 | TX | Practitioner - Registered Dietitian Or Nutrition Professional | 4688197825 | Reassigns benefits to 2 organizations |
| I20250415000506 | AZ | Practitioner - Registered Dietitian Or Nutrition Professional | 4688197825 | Reassigns benefits to 3 organizations |
| I20250416000698 | WI | Practitioner - Registered Dietitian Or Nutrition Professional | 4688197825 | Reassigns benefits to 1 organization |
| I20250528000519 | DC | Practitioner - Registered Dietitian Or Nutrition Professional | 4688197825 | Reassigns benefits to 1 organization |
| I20250611003310 | IA | Practitioner - Registered Dietitian Or Nutrition Professional | 4688197825 | Reassigns benefits to 1 organization |
| I20250913000290 | NJ | Practitioner - Registered Dietitian Or Nutrition Professional | 4688197825 | Reassigns benefits to 1 organization |
| I20250924000290 | GA | Practitioner - Registered Dietitian Or Nutrition Professional | 4688197825 | Reassigns benefits to 2 organizations |
| I20251113002137 | WA | Practitioner - Registered Dietitian Or Nutrition Professional | 4688197825 | Reassigns benefits to 1 organization |
| I20251120000467 | AR | Practitioner - Registered Dietitian Or Nutrition Professional | 4688197825 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5333 | AL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Season Clinical Care P.a. | Dietitian, Registered | Current |
Accepting new patients |
| Uhling Consulting, LLC | Dietitian, Registered | Current |
Accepting new patients |
| Season Clinical Care NJ PC | Dietitian, Registered | Current |
Accepting new patients |
| Surely Health, Inc. | Dietitian, Registered | Current |
Accepting new patients |
| H-E-B, LP | Past |
Accepting new patients |
Locations
1202 NE McClain Rd
Bentonville, AR 72712
Phone (479) 278-4323
20325 N 51st Ave
Ste 126
Glendale, AZ 85308
Phone (602) 341-5248
20325 N 51st Ave
Ste 166
Glendale, AZ 85308
Phone (602) 341-5248
2375 E Camelback Rd
Ste 600
Phoenix, AZ 85016
Phone (602) 341-5248
130 E Congress St
Ste 200139
Tucson, AZ 85701
Phone (724) 307-5926
130 E Congress St
Ste 213
Tucson, AZ 85701
3480 Preston Ridge Rd
Ste 500
Alpharetta, GA 30005
Phone (412) 287-4983
1120 Depot Ln SE
Ste 100
Cedar Rapids, IA 52401
Phone (319) 237-3193
1719 Highway 10
Parsippany, NJ 07054
1719 Highway 10
Ste 300
Parsippany, NJ 07054
6565 N MacArthur Blvd
Ste 225
Irving, TX 75039
Phone (972) 635-0489
1710 Keller Pkwy
Keller, TX 76248
Phone (210) 201-2364
2800 Eisenhower Ave
Ste 220
Alexandria, VA 22314
Phone (540) 358-0423
3600 136th Pl SE
Bellevue, WA 98006
345 W Washington Ave
Ste 301
Madison, WI 53703
Phone (312) 999-0201
Interoperability endpoints
- https://api.platform.athenahealth.com/19691/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 5333 | AL | Yes |
Addresses
Primary practice location
110 Peter LN
New Hope, AL 35760-9100
Mailing address
110 Peter LN
New Hope, AL 35760-9100
Phone (256) 783-6426
Other providers in New Hope, AL
- Tammara S Benjamin
- Stephanie Frank Carter
- Bailey Martin Fast
- GNH Inc
- Henderson and Darnell Associates
- Jessica Hoang
All providers in New Hope, AL · Registered Dietitian in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.