TAVARIS BROOKS (NPI# 1609359868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609359868 |
Entity Type | Individual |
Full Name | TAVARIS BROOKS |
Credential | FNP |
Practice Address |
7458 Pine Forest Rd Pensacola FL 32526-8818 |
Practice Telephone | 8509442885 |
Practice Fax Number | 8509410084 |
Mailing Telephone | 8509442885 |
Enumeration Date | 2018-09-12 |
Last Update Date | 2020-08-20 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WR0400X |
Registered Nurse Specialization: Rehabilitation |
9399373 | FL | Nursing Service Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN9399373 | FL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
7458 PINE FOREST RD |
City | PENSACOLA |
State | FL |
Zip Code | 32526-8818 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366437204 | John J Varenholt | Family Medicine | 7458 Pine Forest Rd, Pensacola, FL 32526-8818 | 2005-09-16 |
1851830558 | Larry Jordan Williams | Nurse Practitioner | 7458 Pine Forest Rd, Pensacola, FL 32526-8818 | 2017-02-15 |
1568451029 | Pensacola Primary Care Inc | Family Medicine | 7458 Pine Forest Rd, Pensacola, FL 32526-8818 | 2005-10-18 |
1588650147 | Arthur Spiegel | Family Medicine | 7458 Pine Forest Rd, Pensacola, FL 32526-8818 | 2005-09-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184274250 | Luzviminda Banares | Technician | 6303 Nashville Ave., Pensacola, FL 32526 | 2019-09-19 |
1972011708 | Kimberly Corner | Custodial Care Facility | 7138 Glendora St, Pensacola, FL 32526 | 2018-01-15 |
1174983175 | Empower Medical Solutions Inc | Durable Medical Equipment & Medical Supplies | 6866-a Pine Forest Rd, Pensacola, FL 32526 | 2016-03-03 |
1215324736 | Access Care Medical Group, LLC | Clinic/Center | 2123 Juno Cir, Pensacola, FL 32526 | 2015-04-22 |
1760733398 | Jacqueline Kathleen Clarke Jemmott | Counselor | 7203 Pine Forest Rd, Pensacola, FL 32526 | 2012-09-22 |
1326269986 | Linda Elena Longsworth | Pharmacist | 5975 Mobile Hwy., Pensacola, FL 32526 | 2007-05-01 |
1619019205 | Terence D Lunday | Dentist | 3101f W Michigan Ave, Pensacola, FL 32526 | 2007-02-12 |
1164571584 | James Glenn Hart Jr. | Dentist | 3101 F W Michigan Ave, Pensacola, FL 32526 | 2007-01-09 |
1033216528 | Holiday Cvs LLC | Pharmacy | 4500 Saufley Field Rd, Pensacola, FL 32526 | 2006-09-19 |
1578584942 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 5975 Mobile Hwy, Pensacola, FL 32526 | 2006-07-21 |
Find all providers in zip 32526 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174121156 | Evangeline Mahima Standridge | Nurse Practitioner | 7828 Woodpointe Dr, Pensacola, FL 32514-6625 | 2020-10-13 |
1902411143 | Richard Hutson | Nurse Practitioner | 3660 Cherry Laurel Dr, Pensacola, FL 32504-7519 | 2020-09-14 |
1982218202 | Sherri Louise Pucillo | Nurse Practitioner | 1717 N E St Ste 526, Pensacola, FL 32501-6333 | 2020-09-03 |
1740893841 | Krista Ivana Robinson | Nurse Practitioner | 5995 Arch Ave, Pensacola, FL 32526-3232 | 2020-08-28 |
1578173670 | Lalita Combs | Nurse Practitioner | 6013 Patch Ln, Pensacola, FL 32526-9177 | 2020-08-04 |
1053929075 | Cynthia Elaine Garay | Nurse Practitioner | 4270 Langley Ave, Pensacola, FL 32504-8454 | 2020-07-15 |
1083254742 | Brittany Beasley Perez | Nurse Practitioner | 543a Fontaine St Ste A, Pensacola, FL 32503-2018 | 2020-01-10 |
1912540238 | Jeanne Clack Harris | Nurse Practitioner | 3002 E Jackson St, Pensacola, FL 32503-6437 | 2019-10-18 |
1598315608 | Lanora Glaze | Nurse Practitioner | 1645 Elmhurst Rd, Pensacola, FL 32505-1039 | 2019-09-19 |
1710547609 | Stephanie Evans | Nurse Practitioner | 6202 N 9th Ave Ste 1a, Pensacola, FL 32504-8291 | 2019-06-13 |
Find all providers in PENSACOLA |
Please comment or provide details below to improve the information on TAVARIS BROOKS.
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.