TRACI L. BROOKS (NPI# 1528247178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528247178 |
| Entity Type | Individual |
| Full Name | TRACI L. BROOKS |
| Credential | RN, FNP-C |
| Practice Address |
480 Central Ave Family Practice Clinic Jbphh HI 96860-4908 |
| Practice Telephone | 8082573365 |
| Mailing Telephone | 8082573365 |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2012-12-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
663922 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881102671 | Traci Anne Brooks | Behavior Technician | 1411 Princess Anne St., Fredericksburg, VA 22401 | 2018-01-16 |
| 1437358579 | Traci C Brooks | Pharmacist | 1601 Sw Archer Rd, Pharmacy Service (119), Gainesville, FL 32608-1135 | 2007-07-17 |
| 1669411666 | Traci L Brooks | Pediatrics | 1493 Cambridge St, Cambridge, MA 02139-1047 | 2006-06-05 |
| Street Address |
480 CENTRAL AVE FAMILY PRACTICE CLINIC |
| City | JBPHH |
| State | HI |
| Zip Code | 96860-4908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255325072 | John K Nakagawa | Dentist | 480 Central Ave, Jbphh, HI 96860-4908 | 2005-09-07 |
| 1639792633 | Andrea Kahealani Stanley | Registered Nurse | 480 Central Ave, Jbphh, HI 96860-4908 | 2020-05-26 |
| 1427689926 | Anuree Bennett | Registered Nurse | 480 Central Ave, Jbphh, HI 96860-4908 | 2020-02-03 |
| 1366073512 | George Henry Alba | Registered Nurse | 480 Central Ave, Jbphh, HI 96860-4908 | 2020-01-27 |
| 1588203400 | Christina Marie Narayana | Registered Nurse | 480 Central Ave, Jbphh, HI 96860-4908 | 2019-12-23 |
| 1528602984 | Carrie P Yamamoto | Registered Nurse | 480 Central Ave, Jbphh, HI 96860-4908 | 2019-10-29 |
| 1821502683 | Matthew Laurance Reagan | Military Health Care Provider | 480 Central Ave, Jbphh, HI 96860-4908 | 2017-11-30 |
| 1356878995 | Daryl R Cadelina | Registered Nurse | 480 Central Ave, Jbphh, HI 96860-4908 | 2017-05-14 |
| 1396282232 | Jennifer Sua | Registered Nurse | 480 Central Ave, Jbphh, HI 96860-4908 | 2017-01-31 |
| 1912368705 | Heidi Layton | Psychologist | 480 Central Ave, Jbphh, HI 96860-4908 | 2016-03-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770075970 | April Box | Registered Nurse | Naval Health Clinic Hawii, 480 Central Avenue, Pearl Harbor, HI 96860 | 2018-06-04 |
| 1760985535 | Daniel Thomas Weinberg | General Practice | 1430 Morton St Bldg 619, Jbphh, HI 96860 | 2018-03-17 |
| 1003325366 | Justin Hesse | Military Health Care Provider | Building 17 Bishop Point, Pearl Harbor, HI 96860 | 2017-09-29 |
| 1982057816 | John Alois Kustermann | Family Medicine | 490 Central Avenue Bldg 281, Honolulu Military Entrance Processing Station, Pearl Harbor, HI 96860 | 2016-07-15 |
| 1104290519 | Carlton Jacob Maughan | Military Health Care Provider | Bldg 17 Bishops Point, Pearl Harbor, HI 96860 | 2015-11-23 |
| 1588079206 | Naval Health Clinic Hawaii | Military/U.S. Coast Guard Pharmacy | Makalapa Rd, Bldg 1407, Pearl Harbor, HI 96860 | 2014-06-23 |
| 1922349968 | Jose Israel Lopez | Military Health Care Provider | Mdsu-1 Bishop Point, Building 17, Pearl Harbor, HI 96860 | 2013-03-14 |
| 1790056620 | Lesley Brooke Dorsey | Physician Assistant | 408 Central Ave, Jbphh, HI 96860 | 2012-01-24 |
| 1184914061 | William A Talbott | Military Health Care Provider | 850 Ticonderoga St, Pearl Harbor, HI 96860 | 2011-04-13 |
| 1275860603 | Michael J. Rodriguez | Military Health Care Provider | 822 Clark St., Nssc Medical Suite 400, Pearl Harbor, HI 96860 | 2009-11-05 |
| Find all providers in zip 96860 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629678123 | Veronica Alexis Barroga | Nurse Practitioner | 99-705 Holoai St, Aiea, HI 96701-3581 | 2020-10-26 |
| 1477150837 | Jonathan Keeming Cheng | Nurse Practitioner | 46-304 Ahui Nani Pl, Kaneohe, HI 96744-4054 | 2020-10-07 |
| 1255947685 | Carly Paige Aldag | Nurse Practitioner | 14 Aulike St Apt 804, Kailua, HI 96734-2744 | 2020-09-21 |
| 1598370439 | Marina Nogues | Nurse Practitioner | 3901b Maunahilu Pl, Honolulu, HI 96816 | 2020-09-08 |
| 1215541644 | Kristen Ashtley Simon | Nurse Practitioner | 91-1020 Makaike St, Ewa Beach, HI 96706-5111 | 2020-09-02 |
| 1417568098 | Marisa Takiguchi | Nurse Practitioner | 1329 Lusitana St Ste 109, Honolulu, HI 96813-2401 | 2020-08-16 |
| 1538770631 | Kara Emi Yoshida | Nurse Practitioner | 1516 Hoolehua St, Pearl City, HI 96782-1727 | 2020-08-12 |
| 1750992806 | Tammy M Mckee | Nurse Practitioner | 66-345 Kaamooloa Rd Apt F, Waialua, HI 96791-9702 | 2020-08-12 |
| 1093326530 | Chloe Bonnie Yester | Nurse Practitioner | 59-401a Kam Hwy, Haleiwa, HI 96712 | 2020-08-10 |
| 1588273759 | Terri-ann Davis | Nurse Practitioner | 91-1752 Puhiko St, Ewa Beach, HI 96706-4838 | 2020-07-23 |
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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.