SANDRA L BROOKS (NPI# 1790783207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790783207 |
| Entity Type | Individual |
| Full Name | SANDRA L BROOKS |
| Credential | ARNP |
| Practice Address |
533 N Nova Rd Ste 203 Ormond Beach FL 32174-4422 |
| Practice Telephone | 3866727175 |
| Practice Fax Number | 3866720771 |
| Mailing Telephone | 3866727175 |
| Mailing Fax Number | 3866720771 |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2016-12-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
2650922 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 305058100 | 05 | |
| FL | MEDICARE PTAN Y4188Y | 1790783207 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700132818 | Sandra Brooks | Registered Nurse | 9955 Buffalo Speedway, Apt.#10303, Houston, TX 77054-1316 | 2012-07-25 |
| 1285961037 | Sandra Brooks | Massage Therapist | 19923 Jodi Dr, Lutz, FL 33558-5005 | 2009-11-13 |
| 1760606982 | Sandra Lee Brooks | Case Manager/Care Coordinator | 1366 Sublette St, Rock Springs, WY 82901-7328 | 2007-04-11 |
| 1376687756 | Sandra Denise Brooks | Registered Nurse | 2983 Hinsel Dr, Columbus, OH 43232-7717 | 2007-02-17 |
| 1124422472 | Sandra Brooks | Behavioral Analyst | 73 Westwood Dr, Park Forest, IL 60466-1414 | 2014-10-15 |
| 1578735155 | Sandra Gikas Brooks | Social Worker | 4287 Five Oaks Dr, Lansing, MI 48911-4214 | 2008-03-24 |
| 1497879159 | Sandra Anne Brooks | Social Worker | 227 E Sanilac Rd, Sandusky, MI 48471-1160 | 2007-03-19 |
| 1356487508 | Sandra Brooks | Case Manager/Care Coordinator | 1800 Myers St, Batesville, AR 72501-7344 | 2007-01-29 |
| 1629088976 | Sandra Kay Brooks | Nurse Practitioner | 6300 Highway 55, Golden Valley, MN 55427-4946 | 2006-08-09 |
| 1013944750 | Sandra E Brooks | Obstetrics & Gynecology | 3999 Dutchmans Ln, Suite 3c, Louisville, KY 40207-4729 | 2006-06-27 |
| Street Address |
533 N NOVA RD STE 203 |
| City | ORMOND BEACH |
| State | FL |
| Zip Code | 32174-4422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174954598 | Cynthia Ann Streifer | Marriage & Family Therapist | 533 N Nova Rd Ste 203, Ormond Beach, FL 32174-4422 | 2013-12-11 |
| 1427247550 | Behavioral Health of Ormond Beach | Nurse Practitioner | 533 N Nova Rd Ste 203, Ormond Beach, FL 32174-4422 | 2007-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215574991 | Case Vision Pa | Optometrist | Eye Savers, 1474 W. Granada Blvd. #470, Ormond Beach, FL 32174 | 2019-12-02 |
| 1235797143 | Galia Leilani Medrano Ramirez | Dentist | 1274 W. Granada Blvd, Ormond Beach, FL 32174 | 2019-06-05 |
| 1295299220 | Jessica Johnson Hills | Nurse Practitioner | 1400 Hand Ave Ste K, Ormond Beach, FL 32174 | 2019-01-23 |
| 1437507043 | Natasha Jairam | Family Medicine | Adventhealth Medical Group Family Medicine, 400 Clyde Morris Blvd Ste A, Ormond Beach, FL 32174 | 2016-05-25 |
| 1871956540 | Lisa Anne Parissi | Chiropractor | 157 Kimberly Drive, Ormond Beach, FL 32174 | 2016-03-31 |
| 1023477940 | Ambassador Health Services, Inc | In Home Supportive Care | 136 N Orchard St Ste 1, Ormond Beach, FL 32174 | 2016-02-19 |
| 1619341518 | Maria Rogers | Optometrist | 9 Abacus Ave, Ormond Beach, FL 32174 | 2015-11-16 |
| 1285003830 | Sydney Kalin Neuhardt | Nurse Practitioner | 725 W. Granada Blvd. Ste 1, Ormond Beach, FL 32174 | 2015-09-24 |
| 1194107821 | Jerusha Thacker | Case Manager/Care Coordinator | 259 Bill France Blvd. Ste 200, Daytona Beach, FL 32174 | 2015-06-18 |
| 1730569971 | Daniel Joseph Lapolla | Physical Therapy Assistant | 1275 Granada Blvd, Suite 4b2, Ormond Beach, FL 32174 | 2015-06-03 |
| Find all providers in zip 32174 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720608250 | Benarah Sanford | Nurse Practitioner | 1201 Killarney Dr, Ormond Beach, FL 32174-2827 | 2020-04-24 |
| 1063919637 | Peace of Mind--beachside | Nurse Practitioner | 198 Vining Ct # 5, Ormond Beach, FL 32176-6658 | 2018-04-10 |
| 1497270243 | Soondy Renae Jegede | Nurse Practitioner | 3 River Rock Trl, Ormond Beach, FL 32174-4957 | 2017-08-12 |
| 1447453881 | Liliana Petruta Durkee | Nurse Practitioner | 533 N Nova Rd Ste 114, Ormond Beach, FL 32174-4421 | 2007-06-05 |
| 1295773497 | Melissa Miller Gad | Nurse Practitioner | 208 Booth Road Suite C, Ormond Beach, FL 32714 | 2006-06-02 |
| 1144793084 | Anna Marie Grono | Nurse Practitioner | 565 Memorial Cir, Ormond Beach, FL 32174-5001 | 2019-01-03 |
| 1427247550 | Behavioral Health of Ormond Beach | Nurse Practitioner | 533 N Nova Rd Ste 203, Ormond Beach, FL 32174-4422 | 2007-10-15 |
| 1275557449 | Doris Jane Jones | Nurse Practitioner | 533 N Nova Rd, Suite 203, Ormond Beach, FL 32174-4447 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336832 | Marco Desouza | Nurse Practitioner | 10235 Avelar Ridge Dr, Riverview, FL 33578-7560 | 2020-11-02 |
| 1457950107 | Janet Rosemarie Walker | Nurse Practitioner | 9988 Sw 38th Ave, Ocala, FL 34476-4082 | 2020-10-23 |
| 1104425800 | Vijayalakshmi Kumaraguru | Nurse Practitioner | 102 Park Place Blvd Ste D1, Kissimmee, FL 34741-2358 | 2020-10-22 |
| 1356940217 | Smitha Ajesh | Nurse Practitioner | 9833 Westview Dr Apt 829, Coral Springs, FL 33076-2537 | 2020-10-21 |
| 1457959066 | Kecia Hicks | Nurse Practitioner | 691 Institution Rd, Defuniak Springs, FL 32433-1850 | 2020-10-15 |
| 1699372003 | Rosie Michel | Nurse Practitioner | 13000 Ne 12th Ave, North Miami, FL 33161-4305 | 2020-10-08 |
| 1952908352 | Karen Weinstock | Nurse Practitioner | 7148 Sportsmans Dr, North Lauderdale, FL 33068-5456 | 2020-10-08 |
| 1396342754 | Pamela Ziel | Nurse Practitioner | 545 Lakeside Cir, Sunrise, FL 33326-2136 | 2020-10-07 |
| 1922615608 | Urszula Dorfman | Nurse Practitioner | 1 Las Olas Cir Apt 609, Fort Lauderdale, FL 33316-1634 | 2020-09-28 |
| 1073129136 | Karen Harris | Nurse Practitioner | 28211 Church Rd, Brooksville, FL 34602-6232 | 2020-09-23 |
| Find all providers with the same taxonomy | ||||
| City | ORMOND BEACH |
| Zip Code | 32174 |
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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.