Carolyn Anne Brooks, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN60390208 Issued in WA

Practice address

217 S Hofstetter St
Colville, WA 99114-3239

Phone

(509) 684-7850

NPI assigned

Jan 9, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1972143790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 LENHARD DR",
            "city": "DEER PARK",
            "state": "WA",
            "postal_code": "990066064",
            "telephone_number": "509-860-7695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 S HOFSTETTER ST",
            "city": "COLVILLE",
            "state": "WA",
            "postal_code": "991143239",
            "telephone_number": "509-684-7850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "CAROLYN",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-09",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60390208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": ".",
            "affiliation": "N",
            "endpointDescription": ".",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "217 S Hofstetter St",
            "city": "Colville",
            "state": "WA",
            "country_code": "US",
            "postal_code": "991143239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bonnie Brannock
• Deborah L Brinson, CDP
• Shayla Michelle Broadfoot
• Malissa A Brockus, LMT
• Kenneth K Broderick
• Theresa Lynn Brooks
• Brown & Sorensen, PLLC
• Christopher J. S. Brown
• Jerry Lee Brown, DDS
• Holly Buche

• Registered Nurse in Colville, WA
• Providers in Colville, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; 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.