JACQUELYN BROOKS (NPI# 1861402224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861402224 |
| Entity Type | Individual |
| Full Name | JACQUELYN BROOKS |
| Credential | C-FNP |
| Practice Address |
23504 Lyons Ave Suite 101b Santa Clarita CA 91321-2500 |
| Mailing Address |
28022 Daydream Way Valencia CA 91354-1103 |
| Practice Telephone | 6617990100 |
| Practice Fax Number | 6617990200 |
| Mailing Telephone | 6617136064 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2010-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN368937 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
23504 LYONS AVE SUITE 101B |
| City | SANTA CLARITA |
| State | CA |
| Zip Code | 91321-2500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194753202 | Lynne Ann Steinman | Clinical Neuropsychologist | 23504 Lyons Ave, Ste 401, Santa Clarita, CA 91321-5777 | 2006-06-29 |
| 1437615796 | Nadia Rivas | Behavior Technician | 23504 Lyons Ave, Santa Clarita, CA 91321-2500 | 2019-02-12 |
| 1093222309 | Jared Alan Wood | Behavior Technician | 23504 Lyons Ave, Santa Clarita, CA 91321-2500 | 2018-01-08 |
| 1316324122 | Hong Suk Kim | Acupuncturist | 23504 Lyons Ave, Suite# 101b, Santa Clarita, CA 91321-2500 | 2015-04-30 |
| 1770838062 | Elizabeth Jauregui | Marriage & Family Therapist | 23504 Lyons Ave, Santa Clarita, CA 91321-2500 | 2012-07-23 |
| 1114224664 | Naheed Ali | Social Worker | 23504 Lyons Ave, Santa Clarita, CA 91321-2500 | 2011-02-18 |
| 1770742843 | Amanda Joy Hills | Social Worker | 23504 Lyons Ave, Santa Clarita, CA 91321-2500 | 2008-06-04 |
| 1023237815 | Rebecca Basha Wesson | Speech-Language Pathologist | 23504 Lyons Ave, 404, Santa Clarita, CA 91321-2500 | 2007-04-24 |
| 1952477523 | Ellen Bradley-windell | Social Worker | 23504 Lyons Ave, Suite 404, Santa Clarita, CA 91321-2500 | 2006-11-27 |
| 1831109297 | Judith S Adams | Nurse Practitioner | 23504 Lyons Ave, Suite 101b, Santa Clarita, CA 91321-2500 | 2006-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275157265 | Lauren Tolcher | Behavioral Analyst | 23502 Lyons Avenue, Suite 304a, Santa Clarita, CA 91321 | 2020-06-04 |
| 1427613900 | Weston William Lensing | Behavior Technician | 3502 Lyons Ave, Ste 304a, Santa Clarita, CA 91321 | 2019-05-09 |
| 1174005003 | Eparthenos | Psychologist | 23504 Lyons Ave #304, Santa Clarita, CA 91321 | 2018-09-06 |
| 1740761105 | The Center for Creative Therapy, Inc | Marriage & Family Therapist | 23030 Lyons Ave Ste 207, Santa Clarita, CA 91321 | 2018-08-23 |
| 1982196879 | Brandi Wright-dohopolski | Acupuncturist | 27820 Freemont Court, Unit 5, Suite E, Valencia, CA 91321 | 2018-06-06 |
| 1780113209 | Jennifer Ann Woods | Physician Assistant | 23645 Meadowridge Drive, 110, Newhall, CA 91321 | 2017-06-08 |
| 1942661624 | Sina Tebi Md Inc | Internal Medicine | 23938 Lyons Avenue, #204, Newhall, CA 91321 | 2016-03-09 |
| 1720452220 | Julie Kim | Pharmacist | 26863 Sierra Hwy, Santa Clarita, CA 91321 | 2015-11-20 |
| 1568855773 | Carly Nikiforuk | Counselor | 24625 Arch St., Newhall, CA 91321 | 2015-03-12 |
| 1437562741 | Teresa Cha Waggoner | Nurse Practitioner | 23772 Newhall Avenue, Newhall, CA 91321 | 2014-06-04 |
| Find all providers in zip 91321 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083213201 | Valerie Nicole Barkon | Nurse Practitioner | 22905 Banyan Pl Unit 227, Santa Clarita, CA 91390-4264 | 2020-10-19 |
| 1518593359 | Krystle Mantolino | Nurse Practitioner | 21700 Golden Triangle Rd Ste 102, Santa Clarita, CA 91350-2926 | 2020-03-12 |
| 1063937225 | Mutiatu Morayo Jarrett | Nurse Practitioner | 22316 Hideout Ct, Santa Clarita, CA 91390-5700 | 2017-08-09 |
| 1477004307 | Emmanuel Victor D Galicia | Nurse Practitioner | 27924 Seco Canyon Rd #101, Santa Clarita, CA 91350-3870 | 2016-10-14 |
| 1780035857 | Eden Beth Leyanna | Nurse Practitioner | 22517 Breakwater Way, Santa Clarita, CA 91350-5724 | 2016-06-29 |
| 1639551351 | Michelle Grace Soriano | Nurse Practitioner | 14378 Cascade Ct, Santa Clarita, CA 91387-6204 | 2015-06-19 |
| 1013257062 | Natalie Pierre Oduwo-oketch | Nurse Practitioner | 28309 Alfreds Way, Santa Clarita, CA 91350-3862 | 2013-02-27 |
| 1295870467 | Sandra Elaine Mcmullen | Nurse Practitioner | 35305 Penman Rd, Agua Dulce, Santa Clarita, CA 91390-5416 | 2007-02-21 |
| 1972593671 | Debra Zweifel-poehlmann | Nurse Practitioner | 26357 Mcbean Pky., Santa Clarita, CA 91355 | 2005-10-24 |
| 1336782010 | Mark Chan | Nurse Practitioner | 19231 Soledad Canyon Rd, Santa Clarita, CA 91351-3367 | 2019-10-24 |
| Find all providers in SANTA CLARITA | ||||
| City | SANTA CLARITA |
| Zip Code | 91321 |
Please comment or provide details below to improve the information on JACQUELYN 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.