Chantel Ruth Brooks, DIPL. O.M. L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

372 Issued in TN

Practice address

2202 N John B Dennis Hwy Ste 201
Kingsport, TN 37660-5917

Phone

(423) 230-0005

NPI assigned

Feb 13, 2022

Last updated

Feb 13, 2022By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1644710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644710400000",
    "number": "1962157545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 N JOHN B DENNIS HWY STE 201",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376605917",
            "telephone_number": "423-230-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 N JOHN B DENNIS HWY STE 201",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376605917",
            "telephone_number": "423-230-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "CHANTEL",
        "middle_name": "RUTH",
        "credential": "DIPL. O.M. L.AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-13",
        "last_updated": "2022-02-13",
        "certification_date": "2022-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "TN",
            "license": "372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bristol Orthotics & Prosthetics, Inc
• Jordan Broadwater, DDS
• Howard Thomas Brock, MD
• Anthony Lee Broglio, M.D.
• Brookhaven TN Opco LLC (Brookhaven Health and Rehabilitation)
• Haven Crawley Brooks, M.S., CCC-SLP
• Brookside Chiropractic, P. C.
• Brookside Vision Center
• Brookside Vision Center PLLC
• Brookstone Dental, PLLC

• Acupuncturist in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Acupuncturist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.