COURTNEY BROOKS (NPI# 1952784209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952784209 |
Entity Type | Individual |
Full Name | COURTNEY BROOKS |
Other Name | COURTNEY NICOLE GRAVES-SUTTON |
Credential | FNP |
Practice Address |
912 W Main St Homer LA 71040-3328 |
Practice Telephone | 3189273571 |
Mailing Telephone | 3189273571 |
Enumeration Date | 2015-07-06 |
Last Update Date | 2019-04-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP08339 | LA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 2408372 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316502347 | Courtney Brooks | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Psychiatry Residency, 980710, 1250 E. Marshall Street, Richmond, VA 23298-0710 | 2019-05-06 |
1912371683 | Courtney Paige Brooks | Physician Assistant | 513 Orange St, Tazewell, VA 24651-9616 | 2015-11-18 |
1538375035 | Courtney Renee Brooks | Licensed Vocational Nurse | 6216 County Road 707, Brazoria, TX 77422 | 2007-05-14 |
1447210083 | Courtney Mei-young Brooks | Dentist | 1800 Mcrae Blvd, El Paso, TX 79925-6706 | 2006-03-27 |
1710511332 | Courtney Brooks | Behavior Technician | 502 E Ramsey Rd, San Antonio, TX 78216-4639 | 2020-02-24 |
1821551235 | Courtney Racquel Brooks | Student in an Organized Health Care Education/Training Program | 920 Madison Ave, Memphis, TN 38103-3438 | 2019-04-11 |
1083122535 | Courtney Brooks | Behavior Technician | 4669 Murphy Canyon Rd Ste 212, San Diego, CA 92123-4333 | 2018-01-18 |
1144778499 | Courtney Brooks | Nurse Practitioner | 600 W 3rd St, Mansfield, OH 44906-2633 | 2016-09-15 |
1730533613 | Courtney Brooks | Technician, Other | 4575 Se Dixie Hwy, Stuart, FL 34997-6826 | 2016-04-18 |
1508278839 | Courtney Brooks | Physical Therapist | 2525 N Grandview Ave Ste 400, Odessa, TX 79761-1621 | 2014-05-21 |
Street Address |
912 W MAIN ST |
City | HOMER |
State | LA |
Zip Code | 71040-3328 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003854746 | Joan P. Cardin | Emergency Medicine | 912 W Main St, Homer, LA 71040-3328 | 2006-06-03 |
1487954608 | Katherine Rains | Clinical Nurse Specialist | 912 W Main St, Homer, LA 71040-3328 | 2010-10-22 |
1184735151 | William Mark Haynes | Family Medicine | 912 W Main St, Homer, LA 71040-3328 | 2006-08-31 |
1306957386 | Donald Scott Haynes | Internal Medicine | 912 W Main St, Homer, LA 71040-3328 | 2006-08-31 |
1619088606 | Maria Mcguire Haynes | Preferred Provider Organization | 912 W Main St, Homer, LA 71040-3328 | 2006-08-31 |
1578572038 | Donald K. Haynes, Etal Ptrs. | Preferred Provider Organization | 912 W Main St, Homer, LA 71040-3328 | 2006-08-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609066646 | Homer Memorial Hospital | Nurse Anesthetist, Certified Registered | 620 East College St., Homer, LA 71040 | 2007-07-26 |
1881806164 | Southern Ingenuity Inc | Day Training, Developmentally Disabled Services | 598 Harmon Loop, Homer, LA 71040 | 2007-05-07 |
1104048214 | A and L of Northeast La Inc | Day Training, Developmentally Disabled Services | 911 West Main, Homer, LA 71040 | 2007-05-02 |
1356409619 | Southern Ingenuity Inc | Day Training, Developmentally Disabled Services | 3250 Hwy 79, Homer, LA 71040 | 2006-12-05 |
1851343529 | Claiborne Manor Nursing Home, LLC | Skilled Nursing Facility | 6942 Highway 79 North, Homer, LA 71040 | 2006-05-17 |
1679523807 | Larry Don Ezell | Emergency Medicine | 620 Ecollege Street, Homer, LA 71040 | 2006-05-10 |
1386856680 | Southern Ingenuity Inc | Day Training, Developmentally Disabled Services | 598 Harmon Loop, Homer, LA 71040 | 2007-05-07 |
1720290034 | Southern Ingenuity Inc | Day Training, Developmentally Disabled Services | 598 Harmon Loop, Homer, LA 71040 | 2007-05-07 |
1831137579 | Helen Denise Butler | Nurse Practitioner | 104 Morris Cir, Homer, LA 71040 | 2006-06-03 |
1245452234 | Melvin Harold Procell | Dentist | 5220 Highway 79, Homer, LA 71040-2002 | 2007-05-02 |
Find all providers in zip 71040 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396198388 | Lisa Zatz | Nurse Practitioner | 178 E Bunnell Ave, Homer, AK 99603-7843 | 2016-07-14 |
1720101132 | Donna Marie Fenske | Nurse Practitioner | 426 E Bayview Ave, Homer, AK 99603-7117 | 2007-04-09 |
1316916596 | Rebecca L Noble | Nurse Practitioner | 880 East End Rd, Seldovia Village Tribe, Homer, AK 99603 | 2006-03-17 |
1588632483 | Valerie A Wills | Nurse Practitioner | 1244 Historic Homer Hwy, Homer, GA 30547-2737 | 2006-03-08 |
1871599126 | Carol Lynn Klamser | Nurse Practitioner | 4141 Pennock St, Homer, AK 99603-7223 | 2005-06-22 |
1144758004 | Anna Jeanne Williams | Nurse Practitioner | 4136 Bartlett St, Homer, AK 99603-7001 | 2017-05-23 |
1811304074 | Ekara N Wafer-mendenhall | Nurse Practitioner | 620 E College St, Homer, LA 71040-3202 | 2014-07-18 |
1194158774 | Christine Sophia Brubaker | Nurse Practitioner | 880 E End Rd, Homer, AK 99603-7201 | 2013-08-19 |
1083902027 | Lisa A Olson-gugerty | Nurse Practitioner | 82 Copeland Ave, Homer, NY 13077-1528 | 2011-07-12 |
1104134089 | Eva Louise Michels | Nurse Practitioner | 880 E End Rd, Homer, AK 99603-7201 | 2010-09-14 |
Find all providers in HOMER |
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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.