MRS. KELLY LYNN BROOKS (NPI# 1366689358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366689358 |
Entity Type | Individual |
Full Name | MRS. KELLY LYNN BROOKS |
Credential | PA-C |
Practice Address |
828 Ventura St Ste 100 Fillmore CA 93015 |
Mailing Address |
4484 Coffeetree Ln Moorpark CA 93021-3533 |
Practice Telephone | 8055242000 |
Mailing Telephone | 8055292225 |
Mailing Fax Number | 8055292225 |
Enumeration Date | 2009-01-13 |
Last Update Date | 2009-01-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
20091 | CA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114360484 | Kelly A Brooks | Nutritionist | 2530 Whirlwind St, Corpus Christi, TX 78414-5010 | 2013-04-16 |
1083816300 | Kelly Annette Brooks | Counselor | 1224 Pennsylvania St Ne, Albuquerque, NM 87110-7410 | 2007-05-31 |
1215073960 | Kelly Dugger Brooks | Social Worker | 4480 Corbin Ct, Tallahassee, FL 32309-2286 | 2007-01-29 |
1508806530 | Kelly Brooks | Nurse Anesthetist, Certified Registered | 3564 Willow Beach St Sw, Prior Lake, MN 55372 | 2006-06-07 |
1235750167 | Kelly Brooks | Dietitian, Registered | 374 Stockholm St, Brooklyn, NY 11237-4006 | 2020-05-01 |
1407327059 | Kelly Michelle Brooks | Social Worker | 317 N 2nd St, Temple, TX 76501-3216 | 2018-12-07 |
1013496850 | Kelly Brooks | Speech-Language Pathologist | 12110 Clayton Rd, Saint Louis, MO 63131-2516 | 2018-08-13 |
1336668540 | Kelly Brooks | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2017-09-19 |
1881056414 | Kelly Meghan Brooks | Family Medicine | 28 Centre Dr, Milton, VT 05468-3104 | 2016-03-23 |
1750717138 | Kelly Robinson Brooks | Registered Nurse | 2141 K St Nw, Suite 3, Washington, DC 20037-1810 | 2013-09-18 |
Street Address |
828 VENTURA ST STE 100 |
City | FILLMORE |
State | CA |
Zip Code | 93015 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003471830 | Sarah Jeanette Ettinger | Student in an Organized Health Care Education/Training Program | Sbcd, Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93015 | 2019-05-07 |
1518522341 | Elizabeth Pandian | Student in an Organized Health Care Education/Training Program | Sbch, Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93015 | 2019-05-07 |
1407350549 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 328 Central Ave, Fillmore, CA 93015 | 2018-03-22 |
1356560718 | Ventura County Behavioral Health | Community/Behavioral Health | 828 W Ventura St Ste 240, Fillmore, CA 93015 | 2007-04-24 |
1487726766 | Alejandro Echeverry | Dentist | 1317 Ventura St, Suite C, Fillmore, CA 93015 | 2006-11-14 |
1265545321 | Nasr N Anees | Family Medicine | 355 Central Avenue, Clinicas Del Camino Real, Inc, Fillmore, CA 93015 | 2006-08-15 |
1487219358 | Roxana Ardebili | Student in an Organized Health Care Education/Training Program | Sbch, Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93015 | 2019-05-07 |
1235794009 | Philip Wan | Student in an Organized Health Care Education/Training Program | Sbch, Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93015 | 2019-05-07 |
1679138531 | Gretel Dayna D'souza | Student in an Organized Health Care Education/Training Program | Sbch, Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93015 | 2019-05-07 |
1861057671 | Shealinna Ge | Student in an Organized Health Care Education/Training Program | Sbch, Medical Education, 400 W Pueblo Street, Santa Barbara, CA 93015 | 2019-05-07 |
Find all providers in zip 93015 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649894403 | Kathlyn Larco | Physician Assistant | 1233 W Randall Way, West Covina, CA 91790-4747 | 2020-06-07 |
1487126421 | Eliza Hughes | Physician Assistant | 860 Oak Park Blvd Ste 101, Arroyo Grande, CA 93420-1800 | 2018-12-31 |
1508333873 | Andrew Cantos Malit | Physician Assistant | 409 Bristol Way, Corona, CA 92879-6156 | 2018-10-25 |
1578049458 | Ida Jelveh | Physician Assistant | 28096 Edelweiss Ct, Laguna Niguel, CA 92677-7006 | 2018-07-13 |
1356833578 | Michael James Gonzalez | Physician Assistant | 1500 E Chevy Chase Dr # 401a401b, Glendale, CA 91206-4152 | 2018-06-04 |
1023500592 | Pamela Lambert Pa-c, Inc. | Physician Assistant | 16105 Mariposa Ave, Riverside, CA 92504-8730 | 2018-05-31 |
1225532385 | Folsom Physicain Assistant First Assist, Inc | Physician Assistant | Nina Vasiliev Pa-c, 15407 Muller Rd, Plymouth, CA 95669-9770 | 2018-03-22 |
1275040008 | Gm Surgical Assistant Inc | Physician Assistant | 15615 Turnberry St, Moreno Valley, CA 92555-4901 | 2018-01-02 |
1902311186 | Or Solutions Inc | Physician Assistant | 1501 Secret Ravine Pkwy Unit 527, Roseville, CA 95661-6005 | 2017-12-09 |
1184143828 | Alaa Abdalla Daghlas | Physician Assistant | 1100 S Eliseo Dr Ste A, Greenbrae, CA 94904-2017 | 2017-09-13 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.