Active NPI
Jana Michelle Brooks, FNP-C
- Family Nurse Practitioner
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 005001010
- Practice address
- 7810 Providence Road
Suite 102
Charlotte, NC 28226-2987 - Phone
- (704) 543-6636
- Fax
- (704) 541-9476
- NPI assigned
- Oct 31, 2005
- Last updated
- Dec 4, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 005001010 | NC | Primary |
Addresses
Primary practice location
7810 Providence Road
Suite 102
Charlotte, NC 28226-2987
Mailing address
PO Box 601448
Charlotte, NC 28260-1448
Phone (704) 543-6636
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7005796 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3028 | SC | MD | Physician Assistant |
| 005001010 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Union Urgent Care LLC | Past | Accepting new patients | |
| Carolinas Physicians Network Inc | Past | Accepting new patients | |
| Carolinas Physicians Network Inc | Past | Accepting new patients | |
| Union Urgent Care LLC | Past | Accepting new patients | |
| Carolinas Physicians Network Inc | Past | Accepting new patients | |
| Carolinas Physicians Network Inc | Past | Accepting new patients |
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Atrium Health Urgent Care
- Family Medicine Physician
- Charlotte, NC
- NPI 1437168937
-
dba Atrium Health Urgent Care
- Family Medicine Physician
- Charlotte, NC
- NPI 1497762686
-
dba Atrium Health Urgent Care
- Family Medicine Physician
- Concord, NC
- NPI 1902049190
-
dba Personal Health Management
- Internal Medicine Physician
- Charlotte, NC
- NPI 1932118320
-
dba Carolinas HealthCare Urgent Care - Monroe
- Durable Medical Equipment & Medical Supplies
- Monroe, NC
- NPI 1063421469
-
dba Carolinas HealthCare Urgent Care - Union West
- Family Medicine Physician
- Indian Trail, NC
- NPI 1659380079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354579200000",
"number": "1982695920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 601448",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282601448",
"telephone_number": "704-543-6636",
"fax_number": "704-541-9476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7810 PROVIDENCE ROAD",
"address_2": "SUITE 102",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282262987",
"telephone_number": "704-543-6636",
"fax_number": "704-541-9476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "JANA",
"middle_name": "MICHELLE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-31",
"last_updated": "2012-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "005001010",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7005796",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.