Charlene Brooks

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

77419 Issued in SC

Practice address

355 Cedar Springs Rd
Spartanburg, SC 29302-4628

Phone

(864) 577-7780

Fax

(864) 577-7705

NPI assigned

Sep 30, 2014

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

• Mrs. Charlene W. Brooks Professional name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 30, 2014.

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412035200000",
    "number": "1982007365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 CEDAR SPRINGS RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293024628",
            "telephone_number": "864-577-7780",
            "fax_number": "864-577-7705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 CEDAR SPRINGS RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293024628",
            "telephone_number": "864-577-7780",
            "fax_number": "864-577-7705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "CHARLENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-30",
        "last_updated": "2014-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "SC",
            "license": "77419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLENE",
            "last_name": "BROOKS",
            "middle_name": "W.",
            "prefix": "MRS.",
            "credential": "RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sherley Brito, FNP
• Joan M Britt, MEDICAL LABORATORY T
• Brittany Lanford Counseling, LLC
• John Scott Broderick, M.D.
• Angela Brooks, MA SLP
• Diandra N Brooks, PHARMD
• John Herbert Brooks, MD
• Justin Brent Brooks, CRNA
• Katherine Hadden Brooks, PA-C
• Lori Saxon Brooks, CRNA

• All providers in Spartanburg, SC
• School Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; 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.