MRS. KAY MICHELLE BROOKS (NPI# 1831170158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831170158 |
| Entity Type | Individual |
| Full Name | MRS. KAY MICHELLE BROOKS |
| Credential | PA C |
| Practice Address |
4254 Jackson Hwy Chehalis WA 98532-8424 |
| Mailing Address |
Po Box 1099 Morton WA 98356-0018 |
| Practice Telephone | 3602623966 |
| Practice Fax Number | 3602623967 |
| Mailing Telephone | 3604965145 |
| Mailing Fax Number | 3604965093 |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2015-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | PA0004588 | WA | Allopathic & Osteopathic Physicians |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA10004588 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7132244 | 05 | |
| WA | 1117829 | 05 | |
| WA | 7132764 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780742171 | Kay Frances Brooks | Psychologist | 911 E 86th St, Suite 35, Indianapolis, IN 46240 | 2006-12-05 |
| 1528169000 | Kay Newberry Brooks | Counselor | 2019 S Main St, Blakely, GA 39823-2267 | 2006-09-26 |
| Street Address |
4254 JACKSON HWY |
| City | CHEHALIS |
| State | WA |
| Zip Code | 98532-8424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326440827 | Nicholas Wade Bozarth | Physician Assistant | 4254 Jackson Hwy, Chehalis, WA 98532-8424 | 2014-09-16 |
| 1194973628 | Marys Corner Medical Clinic Inc Ps | Family Medicine | 4254 Jackson Hwy, Chehalis, WA 98532 | 2008-09-09 |
| 1255427902 | Thomas R Cooke | Family Medicine | 4254 Jackson Hwy, Chehalis, WA 98532-8424 | 2006-10-04 |
| 1730162124 | Robert Dean Mcelhaney Jr. | Family Medicine | 4254 Jackson Hwy, Chehalis, WA 98532-8424 | 2005-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275140832 | Joshua Russell Wachter | Registered Nurse | 275 W. Vine St., Napavine, WA 98532 | 2020-09-28 |
| 1891339123 | Dara Casey | Technician | 271-1 Romerman Rd, Chehalis, WA 98532 | 2019-10-30 |
| 1265997704 | April D Bacongco | Counselor | 500 Se Washington St, Chehalis, WA 98532 | 2019-02-08 |
| 1235610155 | Alyssa Dawn Ware | Physical Therapist | 1441 Kresky Ave, Chehalis, WA 98532 | 2018-08-28 |
| 1609365238 | American Behavioral Health Systems, Inc. | Substance Abuse Rehabilitation Facility | 500 Se Adams Ave, Chehalis, WA 98532 | 2018-05-09 |
| 1043709314 | Kevin Bumatay Duran | Family Medicine | 931 S. Market Blvd, Chehalis, WA 98532 | 2018-05-02 |
| 1164922324 | William I. Mcmillan | Counselor | 121 Nw Chehalis St., Chehalis, WA 98532 | 2018-02-14 |
| 1285155366 | Great Rivers Behavioral Health Organization | Community/Behavioral Health | 57 W Main Street, Suite 260, Chehalis, WA 98532 | 2017-06-29 |
| 1396273637 | Misty Anne Glenn | Counselor | 121 Nw Chehalis Ave, Chehalis, WA 98532 | 2017-05-31 |
| 1841726221 | Dodi Forgione | Counselor | 2401 Ne Kresky Ave Ste D, Chehalis, WA 98532 | 2017-05-04 |
| Find all providers in zip 98532 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114110947 | Kathleen A Stewart | Physician Assistant | 1655 S Market Blvd Ste B, Chehalis, WA 98532-3826 | 2007-08-24 |
| 1326293085 | Brian Clark Reiton | Physician Assistant | 2690 Ne Kresky Ave, Chehalis, WA 98532-2412 | 2008-11-22 |
| 1932363264 | Jessie Norton | Physician Assistant | 1299 Bishop Rd, Chehalis, WA 98532-8758 | 2008-07-16 |
| 1114997681 | John M Garcia | Physician Assistant | 2690 Ne Kresky Ave, Chehalis, WA 98532-2412 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033735618 | Gavin Guard | Physician Assistant | 818 Mullis St Ste 6, Friday Harbor, WA 98250-7986 | 2020-06-19 |
| 1578110862 | Kaitlin E. Brotman | Physician Assistant | 315 Holton Ave Ste 100, Yakima, WA 98902-3245 | 2019-08-21 |
| 1700345196 | Kara Lynn Kime | Physician Assistant | 1200 Cooper Point Rd Sw Ste 100, Olympia, WA 98502-1172 | 2019-03-15 |
| 1679056824 | Katharine Loco-marshall | Physician Assistant | 4816 She-nah-num Drive, Olympia, WA 98513 | 2018-09-13 |
| 1841791274 | Sjs, Pllc | Physician Assistant | 900 Ocean Beach Hwy Ste B, Longview, WA 98632-4013 | 2018-02-21 |
| 1063928448 | Heidi April | Physician Assistant | 1410 N Pittsburgh St, Building A, Kennewick, WA 99336-8211 | 2017-12-20 |
| 1194251983 | Christopher Joseph Stanley | Physician Assistant | 1010 Ne Lilac St Apt 301, Issaquah, WA 98029-7878 | 2017-05-11 |
| 1366993362 | Vanessa Julie Iglesias Mehta | Physician Assistant | 5128 Yelm Hwy Se, Suite E, Lacey, WA 98503 | 2016-10-14 |
| 1801344601 | Jessica Ann Pettitt | Physician Assistant | 21200 Ne 190th Ct, Battle Ground, WA 98604-9636 | 2016-09-21 |
| 1407300098 | Joshua David Evans | Physician Assistant | 9040 Jackson Ave Mchj Clq C, Tacoma, WA 98431-1100 | 2016-08-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. KAY MICHELLE 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.