Fredericka Brooks, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F0716358 Issued in NC

Practice address

1989 Woodstream Rd
Harrisburg, NC 28075-8341

Phone

(352) 454-9638

NPI assigned

Aug 19, 2016

Sex

Female

Sole proprietor

Yes

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, last updated by the provider on Aug 19, 2016.

{
    "created_epoch": "1471564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471564800000",
    "number": "1972058857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1989 WOODSTREAM RD",
            "city": "HARRISBURG",
            "state": "NC",
            "postal_code": "280758341",
            "telephone_number": "352-454-9638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1989 WOODSTREAM RD",
            "city": "HARRISBURG",
            "state": "NC",
            "postal_code": "280758341",
            "telephone_number": "352-454-9638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "FREDERICKA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-19",
        "last_updated": "2016-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "F0716358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyeekia Blue, MSW, LCSWA
• Crystal Michelle Boggs, FNP
• Jennifer Bourbonnais, MED, RD, LDN
• Julia Kihm Bregenzer, MD
• Stephanie Nichol Briscoe, MA LCMHCS NCC CTMH
• Linda Brown, LCSWA
• Taylor Marie Brown
• Cabarrus Memorial Hospital
• Carillon Assisted Living of Harrisburg
• Glenda Carlton, PHARMD

• All providers in Harrisburg, NC
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; 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.