KATHLEEN BROOKS (NPI# 1952874620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952874620 |
| Entity Type | Individual |
| Full Name | KATHLEEN BROOKS |
| Practice Address |
8633 Mexico Rd O Fallon MO 63366-7506 |
| Mailing Address |
307 Lake Side View Ln Saint Peters MO 63376-2293 |
| Practice Telephone | 6362728888 |
| Mailing Telephone | 4789738048 |
| Enumeration Date | 2019-01-06 |
| Last Update Date | 2019-01-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2017002506 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407968894 | Kathleen Lawlor Brooks | Family Medicine | 413 W Main St, Azle, TX 76020-2905 | 2006-08-31 |
| 1952837064 | Kathleen Brooks | Physical Therapist | 508 10th Ave, Belmar, NJ 07719-2317 | 2017-05-10 |
| 1396073532 | Kathleen V Brooks | Physician Assistant | 1 Atwell Rd, Cooperstown, NY 13326-1301 | 2009-11-30 |
| 1730413741 | Kathleen Y Brooks | Counselor | 1101 Lopez Rd Sw, Albuquerque, NM 87105-3954 | 2009-09-23 |
| 1588838221 | Kathleen Marie Brooks | Social Worker | 2976 Northern Blvd, Long Island City, NY 11101-2822 | 2008-04-14 |
| 1326269077 | Kathleen Brooks | Physical Therapist | 200 Old Sunrise Hwy, Massapequa, NY 11758-5545 | 2007-05-01 |
| 1245266279 | Kathleen Dwyer Brooks | Family Medicine | Umphysicians Broadway Family Medicine, 1020 West Broadway, Minneapolis, MN 55411 | 2006-06-23 |
| 1083685481 | Kathleen Larkin Brooks | Dietitian, Registered | 6900 Georgia Ave Nw, Washington, DC 20307-0003 | 2006-02-01 |
| Street Address |
8633 MEXICO RD |
| City | O FALLON |
| State | MO |
| Zip Code | 63366-7506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922098599 | Michael A Williams | Chiropractor | 8633 Mexico Rd, O Fallon, MO 63366-7506 | 2005-10-25 |
| 1144694480 | Regenerative Wellness Center, LLC | Family Medicine | 8633 Mexico Rd, O Fallon, MO 63366-7506 | 2015-11-24 |
| 1033484795 | Physical Medicine Group, LLC | Internal Medicine | 8633 Mexico Rd, O Fallon, MO 63366-7506 | 2012-03-14 |
| 1902064223 | Michael A. Williams, Dc | Chiropractor | 8633 Mexico Rd, O Fallon, MO 63366-7506 | 2008-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407314826 | Transformative Health 180 LLC | Physical Therapist | 821 West Terra Lane, O Fallon, MO 63366 | 2019-03-05 |
| 1740754126 | Donna Marie Person | Nurse Practitioner | 331 Magnolia Valley Dr., Ofallon, MO 63366 | 2019-01-18 |
| 1679069470 | Samantha Schulte | Clinical Pharmacology | 7 Poor Richard Ct, O Fallon, MO 63366 | 2018-07-03 |
| 1790218048 | Jill Buery | Marriage & Family Therapist | 801 S Woodlawn Ave, Ste 15, O'fallon, MO 63366 | 2017-04-04 |
| 1114466968 | Jessica Anne Morris | Counselor | 103 Lincoln Street, O'fallon, MO 63366 | 2017-02-13 |
| 1639528540 | Kyle James Neuschaefer | Dentist | 31 Ofallon Sq, O Fallon, MO 63366 | 2016-06-10 |
| 1295116143 | Katherine Seiler Harkess | Obstetrics & Gynecology | 300 Winding Woods Drive Suite 200, O'fallon, MO 63366 | 2015-06-16 |
| 1528453354 | Amanda Flamm | Nurse Practitioner | 1101 Hightway K, Ofallon, MO 63366 | 2015-03-30 |
| 1144639972 | Sara Birkemeier | Physical Therapist | 1541 Norwood Hills Dr, Ofallon, MO 63366 | 2014-08-06 |
| 1710390893 | Catherine Rose Most | Speech-Language Pathologist | 555 E. Terra Lane, Fort Zumwalt School District, O'fallon, MO 63366 | 2014-06-06 |
| Find all providers in zip 63366 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295353308 | Danielle Renae Blake | Nurse Practitioner | 808 E 2nd St, O Fallon, IL 62269-2217 | 2020-07-07 |
| 1588293864 | Nicole Pashia | Nurse Practitioner | 983 Crestwood Ln, O Fallon, MO 63366-1676 | 2020-04-07 |
| 1104394899 | Christina Marie Ivy | Nurse Practitioner | 2765 Red Cedar Parc Dr S, O Fallon, MO 63368-6609 | 2018-11-12 |
| 1225514722 | Rachel Dulaney | Nurse Practitioner | 1405 N Green Mount Rd Ste 240, O Fallon, IL 62269-3494 | 2018-07-17 |
| 1053822551 | Leah W Wangui | Nurse Practitioner | 225 Mystic Cv, O Fallon, MO 63368-9654 | 2017-10-24 |
| 1932655479 | Danielle Besand | Nurse Practitioner | 18 S Boxwood Ln, O Fallon, MO 63366-1626 | 2016-08-25 |
| 1649626144 | Donna Jewell | Nurse Practitioner | 331 Logan Dr, O Fallon, IL 62269-7146 | 2016-05-13 |
| 1679939516 | Gladys Schmees | Nurse Practitioner | 408 Wolfpass Dr, O Fallon, IL 62269-6972 | 2016-01-07 |
| 1275916934 | Blue Valley Surgical Associates, LLC | Nurse Practitioner | 2341 Highway K, Suite 214, O Fallon, MO 63368-8604 | 2015-06-30 |
| 1861894925 | Elizabeth Morton | Nurse Practitioner | 223 Shady Rock Ln, O Fallon, MO 63368-7471 | 2014-09-20 |
| Find all providers in O FALLON | ||||
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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.