BROOKE NICOLE TIMS (NPI# 1477575561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477575561 |
| Entity Type | Individual |
| Full Name | BROOKE NICOLE TIMS |
| Credential | RN, CFNP |
| Practice Address |
512 Levee Street Rosedale MS 38769 |
| Mailing Address |
Po Box 4739 Greenville MS 38704-4739 |
| Practice Telephone | 6627596806 |
| Practice Fax Number | 6627596771 |
| Mailing Telephone | 6627252749 |
| Mailing Fax Number | 6627252741 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2016-07-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R868828 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 05983815 | 05 |
| Street Address |
512 LEVEE STREET |
| City | ROSEDALE |
| State | MS |
| Zip Code | 38769 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073536132 | John William Lewis Jr. | Family Medicine | 512 Levee Street, Rosedale, MS 38769-0310 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629270871 | Angel of Mercy Hospice | Hospice Care, Community Based | 314 S Court St, Rosedale, MS 38769 | 2007-06-01 |
| 1215068630 | Joel D Gibson | Dentist | 512 Levee St, Rosedale, MS 38769 | 2007-03-08 |
| 1144548645 | Joy's Loving Care Adult Daycare Center | Day Training, Developmentally Disabled Services | 906 Main Street, Rosedale, MS 38769 | 2010-05-07 |
| 1912057704 | West Bolivar School District | Public Health or Welfare | 1212 South Main Street, Rosedale, MS 38769-0159 | 2007-01-12 |
| 1154651040 | West Bolivar School District | Local Education Agency (LEA) | Highways 1 & 8, Rosedale, MS 38769-0189 | 2009-12-28 |
| 1720377641 | Leigh Bostick Womble | Nurse Practitioner | 512 Levee Street, Box 310, Rosedale, MS 38769-0310 | 2011-03-31 |
| 1043223340 | Rosedale Family Medical Center, P.C. | Family Medicine | 512 Levee St., Rosedale, MS 38769-0310 | 2006-08-15 |
| 1003986993 | West Bolivar Elementary | Public Health or Welfare | 1212 South Main Street, Rosedale, MS 38769-0429 | 2006-11-08 |
| 1205489689 | Bolivar Physician Practices LLC | Clinic/Center | 512 Levee St, Rosedale, MS 38769-5507 | 2019-07-24 |
| 1407991557 | Lewis Drug Store LLC | Pharmacy | 302 Court St, Rosedale, MS 38769-5509 | 2007-02-20 |
| Find all providers in zip 38769 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881209187 | Harmony Integrated Cares | Nurse Practitioner | 8757 Jarwood Rd, Rosedale, MD 21237-3867 | 2020-09-14 |
| 1215541537 | Misbah Naureen | Nurse Practitioner | 5108 King Ave, Rosedale, MD 21237-3327 | 2020-09-03 |
| 1962036558 | Kevin Lee Hair | Nurse Practitioner | 10490 N Us Highway 41, Rosedale, IN 47874-9126 | 2020-02-24 |
| 1366086605 | Lucy Abosi | Nurse Practitioner | 25704a Craft Ave, Rosedale, NY 11422-3011 | 2019-10-30 |
| 1114569571 | Shakira Hurst | Nurse Practitioner | 13410 245th St, Rosedale, NY 11422-1443 | 2019-10-16 |
| 1811469414 | Morenike Esther Agboola | Nurse Practitioner | 1232 Race Rd Ste 403, Rosedale, MD 21237-2386 | 2018-12-19 |
| 1376057646 | Farah Divers | Nurse Practitioner | 25953 148th Rd, Rosedale, NY 11422-2903 | 2017-11-25 |
| 1144765066 | Tracey Maria Rose | Nurse Practitioner | 25961 148th Ave, Rosedale, NY 11422-2901 | 2017-01-01 |
| 1194277491 | Kettely Francois | Nurse Practitioner | 149-86 253 Rd Street, Rosedale, NY 11422 | 2016-11-03 |
| 1609321181 | Fisayo Ogunyomi | Nurse Practitioner | 13727 246th St, Rosedale, NY 11422-1838 | 2016-08-24 |
| Find all providers in ROSEDALE | ||||
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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.