MS. KELLY ANNETTE BROOKS (NPI# 1083816300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083816300 |
Entity Type | Individual |
Full Name | MS. KELLY ANNETTE BROOKS |
Credential | LPC |
Practice Address |
1224 Pennsylvania St Ne Albuquerque NM 87110-7410 |
Mailing Address |
808 Manzano St Ne Albuquerque NM 87110-6306 |
Practice Telephone | 5055509536 |
Mailing Telephone | 5055509536 |
Enumeration Date | 2007-05-31 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
0099101 | NM | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114360484 | Kelly A Brooks | Nutritionist | 2530 Whirlwind St, Corpus Christi, TX 78414-5010 | 2013-04-16 |
1366689358 | Kelly Lynn Brooks | Physician Assistant | 828 Ventura St Ste 100, Fillmore, CA 93015 | 2009-01-13 |
1215073960 | Kelly Dugger Brooks | Social Worker | 4480 Corbin Ct, Tallahassee, FL 32309-2286 | 2007-01-29 |
1508806530 | Kelly Brooks | Nurse Anesthetist, Certified Registered | 3564 Willow Beach St Sw, Prior Lake, MN 55372 | 2006-06-07 |
1235750167 | Kelly Brooks | Dietitian, Registered | 374 Stockholm St, Brooklyn, NY 11237-4006 | 2020-05-01 |
1407327059 | Kelly Michelle Brooks | Social Worker | 317 N 2nd St, Temple, TX 76501-3216 | 2018-12-07 |
1013496850 | Kelly Brooks | Speech-Language Pathologist | 12110 Clayton Rd, Saint Louis, MO 63131-2516 | 2018-08-13 |
1336668540 | Kelly Brooks | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2017-09-19 |
1881056414 | Kelly Meghan Brooks | Family Medicine | 28 Centre Dr, Milton, VT 05468-3104 | 2016-03-23 |
1750717138 | Kelly Robinson Brooks | Registered Nurse | 2141 K St Nw, Suite 3, Washington, DC 20037-1810 | 2013-09-18 |
Street Address |
1224 PENNSYLVANIA ST NE |
City | ALBUQUERQUE |
State | NM |
Zip Code | 87110-7410 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992081368 | Allergy and Asthma Center | Clinic/Center | 1224 Pennsylvania St Ne, Suite B, Albuquerque, NM 87110-7438 | 2011-10-28 |
1285826867 | Valerie S Tausch | Allergy & Immunology | 1224 Pennsylvania St Ne, B, Albuquerque, NM 87110-7438 | 2007-08-16 |
1821291931 | Clara Doddapaneni | Counselor | 1224 Pennsylvania St Ne, Suite D, Albuquerque, NM 87110-7410 | 2007-06-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215550199 | Sabrina Jennifer Lujan | Counselor | 8401 Constitution Ave Nw, Albuquerque, NM 87110 | 2020-05-26 |
1649829318 | Robert D. Oliver | Technician | 2705 Texas Street Ne, Albuquerque, NM 87110 | 2019-09-05 |
1033770904 | Life Re-created LLC | Counselor | 3939 San Pedro Dr. Ne, Bld C, Ste 8, Albuquerque, NM 87110 | 2019-06-21 |
1497319693 | Clear Choice Vision Care, LLC | Optometrist | 6600 Menaul Blve Ne, Suite M5a, Albuquerque, NM 87110 | 2019-04-24 |
1790257558 | Diana M Nicolas | Dietitian, Registered | 8300 Constitution Ave Ne Bld D, Albuquerque, NM 87110 | 2018-12-18 |
1689168403 | Robin N Hermes, Md, PC | Anesthesiology | 2440 Lousiana Blvd. Ne, Ste 580, Albuquerque, NM 87110 | 2018-06-15 |
1710481726 | Desert Mountain Eyecare LLC | Optometrist | 5504 Menaul Blvd Ne Ste Aandb, Albuquerque, NM 87110 | 2018-03-23 |
1659873131 | Amanda Lacasse | Registered Nurse | 6400 Uptown Blvd Ne Suite 360 West, Albuquerque, NM 87110 | 2018-03-01 |
1518485655 | Danielle Liegh Wyne | Counselor | 6121 Indian School Rd, Suite 141, Albuquerque, NM 87110 | 2017-09-08 |
1265957237 | Myrrhine Faller | Speech-Language Pathologist | 6020 Constitution Ave. Ne, Suite 4, Albuquerque, NM 87110 | 2017-08-10 |
Find all providers in zip 87110 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962003517 | Megan Aileen Rafferty | Counselor | 1564 Trujillo Rd. S.w., Albuquerque, NM 87105-2857 | 2020-11-02 |
1851901243 | David A Weichbrodt LLC | Counselor | 9412 Las Calabazillas Rd Ne, Albuquerque, NM 87111-2540 | 2020-07-31 |
1568080042 | Cyd Davis-hubler LLC | Counselor | 9301 Indian School Rd Ne Ste 200f, Albuquerque, NM 87112-2884 | 2020-07-10 |
1568089225 | Wild Rose Healing LLC | Counselor | 4012 Comanche Rd Ne, Albuquerque, NM 87110-1081 | 2020-06-29 |
1285267807 | Rickey Martin Apodaca | Counselor | 1 University of New Mexico # 63870, Albuquerque, NM 87131-0001 | 2020-02-21 |
1063045250 | You Matter Counseling Services, LLC | Counselor | 9768 Summer Shower Pl Nw, Albuquerque, NM 87120-4195 | 2020-02-17 |
1891331773 | Head To Toe Wellness, LLC | Counselor | 4619 Greene Ave, Suite D, Albuquerque, NM 87114 | 2019-11-26 |
1639713316 | Mary Lynn Griffin | Counselor | 6401 Bosque Meadows Pl Nw, Albuquerque, NM 87120-8802 | 2019-11-05 |
1710534375 | Tender Presence Counseling LLC | Counselor | 2929 Coors Blvd Nw Ste 307c, Albuquerque, NM 87120-1173 | 2019-08-19 |
1194387449 | Karen Sue Stockham | Counselor | 9024 Aspen Ave Ne, Albuquerque, NM 87112 | 2019-07-07 |
Find all providers in ALBUQUERQUE |
City | ALBUQUERQUE |
Zip Code | 87110 |
Please comment or provide details below to improve the information on MS. KELLY ANNETTE 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.