JENNIFER ANN BROOKS (NPI# 1821397209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821397209 |
| Entity Type | Individual |
| Full Name | JENNIFER ANN BROOKS |
| Credential | PA |
| Practice Address |
1248 Huffman Mill Rd Burlington NC 27215-8700 |
| Mailing Address |
Po Box 2 Burlington NC 27216-0002 |
| Practice Telephone | 3362260660 |
| Practice Fax Number | 3362276327 |
| Mailing Telephone | 3362260660 |
| Mailing Fax Number | 3362276327 |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2019-06-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0010-05868 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659839702 | Jennifer Lynn Brooks | Licensed Practical Nurse | 643 Farleys Point Rd, Union Springs, NY 13160-3176 | 2019-03-07 |
| 1518425768 | Jennifer C Brooks | Specialist/Technologist | 15 Gloucester Ave, Gloucester, MA 01930-2560 | 2019-03-06 |
| 1477912087 | Jennifer Brooks | Physician Assistant | 2320 Dalebrook Ct, Nashville, TN 37206-1338 | 2016-02-11 |
| 1366716003 | Jennifer Newsom Brooks | Occupational Therapist | 2680 Old Plantation Dr Sw, Concord, NC 28027-8846 | 2012-02-27 |
| 1164790317 | Jennifer Young Brooks | Pharmacist | 5006 North Broadway, Knoxville, TN 37918 | 2011-12-02 |
| 1508155235 | Jennifer H Brooks | Speech-Language Pathologist | 43 Wicklow Way, Pawleys Island, SC 29585-7229 | 2011-04-04 |
| 1467754234 | Jennifer Brooks | Rehabilitation Practitioner | 7336 Ribbon Ridge Ave, Las Vegas, NV 89129-4405 | 2010-11-29 |
| 1023345634 | Jennifer Lynne Brooks | Counselor | 1100 Knott St Se, Atlanta, GA 30316-3124 | 2009-11-03 |
| 1023243250 | Jennifer Brooks | Speech-Language Pathologist | 7474 Greenway Center Drive Suite 620, Greenbelt, MD 20770 | 2009-05-18 |
| 1255577755 | Jennifer Sue Brooks | Licensed Practical Nurse | 5151 County Road 15, Marengo, OH 43334-9619 | 2009-01-05 |
| Street Address |
1248 HUFFMAN MILL RD |
| City | BURLINGTON |
| State | NC |
| Zip Code | 27215-8700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053308288 | Joseph M Clark | Otolaryngology | 1248 Huffman Mill Rd, Ste 201, Burlington, NC 27215-8700 | 2005-10-03 |
| 1558802785 | Leah Coulter | Nurse Practitioner | 1248 Huffman Mill Rd, Burlington, NC 27215-8700 | 2017-03-20 |
| 1043620347 | J Madison Clark Md Pllc | Otolaryngology | 1248 Huffman Mill Rd, Suite 201, Burlington, NC 27215-8700 | 2014-05-07 |
| 1619217627 | Karla Wright Leath | Nurse Practitioner | 1248 Huffman Mill Rd, Suite 103, Burlington, NC 27215 | 2013-02-27 |
| 1972881506 | Private Diagnostic Clinic, Pllc | Internal Medicine | 1248 Huffman Mill Rd, Ste. 103, Burlington, NC 27215-8700 | 2011-08-01 |
| 1508189515 | Carolina Diagnostics, Inc. | Durable Medical Equipment & Medical Supplies | 1248 Huffman Mill Rd, B, Burlington, NC 27215-8700 | 2010-03-04 |
| 1407033939 | Digitrace Care Services Inc. | Durable Medical Equipment & Medical Supplies | 1248 Huffman Mill Rd, Suite B, Burlington, NC 27215-8700 | 2008-01-28 |
| 1225223449 | Sleepmed Therapies, Inc. | Durable Medical Equipment & Medical Supplies | 1248 Huffman Mill Rd, Suite B, Burlington, NC 27215 | 2007-09-11 |
| 1821219197 | John Ballance | Audiologist | 1248 Huffman Mill Rd, Suite 200, Burlington, NC 27215-8700 | 2007-05-02 |
| 1609099209 | Creighton Charles Vaught | Otolaryngology | 1248 Huffman Mill Rd, Suite 200, Burlington, NC 27215-8700 | 2007-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235748708 | Svetlana Nepocatych | Dietitian, Registered | 542 Spaulding St, Burlington, NC 27215 | 2020-07-30 |
| 1992341382 | Gracepoint Recovery Services | Counselor | The Gregory Business Center, 154 Huffman Mill Roal, Burlington, NC 27215 | 2019-11-21 |
| 1336797331 | Kelly Elizabeth Fleming | Preventive Medicine | Stallings-evans Sports Medicine Center, 91 Stadium Drive, Chapel Hill, NC 27215 | 2019-09-03 |
| 1861911968 | Michael Frey | Pharmacist | 2344 South Church St, Burlington, NC 27215 | 2017-09-11 |
| 1174043822 | Comfort Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1244 Plaza Dr, Burlington, NC 27215 | 2017-06-23 |
| 1811417561 | Burlington Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1244 Plaza Drive, Burlington, NC 27215 | 2017-06-23 |
| 1912459132 | Herb Mccandless Jr. | Non-emergency Medical Transport (VAN) | 4412 Dogwood Rd, Burlington, NC 27215 | 2016-11-04 |
| 1023479623 | Alpha Diagnostics, LLC | Clinical Medical Laboratory | 3015 South Church St, Burlington, NC 27215 | 2016-03-10 |
| 1669720819 | Lucy Wessinger Menefee | Registered Nurse | Unc Nephrology and Hypertension, 3325 Garden Road, Burlington, NC 27215 | 2012-08-20 |
| 1154685402 | Sheryl Harper | Social Worker | 2815 North Church Street, Burlington, NC 27215 | 2012-07-02 |
| Find all providers in zip 27215 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598399743 | Samantha Pandick Vaillancourt | Physician Assistant | 1236 Huffman Mill Rd Ste 100, Burlington, NC 27215-8700 | 2020-02-26 |
| 1770116576 | Mh Medical Services, PC | Physician Assistant | 1737 Whites Kennel Rd, Burlington, NC 27215-8977 | 2020-02-20 |
| 1578113908 | Avani Shah | Physician Assistant | 41 Burlington Mall Road 7 West Neurology Dept, Burlington, MA 01805-2015 | 2019-09-17 |
| 1174087548 | Lindsay Elaine Damaso | Physician Assistant | 6 Frothingham Rd, Burlington, MA 01803-4002 | 2019-01-30 |
| 1902375744 | San Michael Kyte | Physician Assistant | 104 Huffman Mill Rd Ste 100, Burlington, NC 27215-5113 | 2018-11-22 |
| 1871010074 | Adriana M Pollak | Physician Assistant | 1041 Kirkpatrick Rd Ste 200, Burlington, NC 27215-8066 | 2017-08-28 |
| 1679920581 | Jenna Bruno | Physician Assistant | 8 Pontos Ave, Burlington, MA 01803-2127 | 2016-05-20 |
| 1770963332 | Christopher Walden | Physician Assistant | 2016 Wall Ave, Burlington, NJ 08016-3616 | 2015-06-08 |
| 1447655568 | Bushra Khan | Physician Assistant | 1174 Kaye Ct, Burlington, NJ 08016-2266 | 2014-10-31 |
| 1831527191 | Autumn Kari Konz | Physician Assistant | 1234 Huffman Hill Road, Burlington, NC 27215-8700 | 2013-10-24 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 27215 |
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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.