DR. AMY DANIELLE BROOKS (NPI# 1154728558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154728558 |
Entity Type | Individual |
Full Name | DR. AMY DANIELLE BROOKS |
Credential | AGACNP-BC |
Practice Address |
1120 15th Street Augusta GA 30912-0004 |
Mailing Address |
1120 15th St Ste Bi1056 Augusta GA 30912-0004 |
Practice Telephone | 7067246100 |
Mailing Telephone | 7067213813 |
Enumeration Date | 2014-12-01 |
Last Update Date | 2018-12-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
RN201527 | GA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740272111 | Amy Susan Brooks | Oral & Maxillofacial Surgery | 207 Queen St, Morganton, NC 28655-3341 | 2005-08-22 |
1285231241 | Amy Brooks | Social Worker | 3911 20th Ave S, Fargo, ND 58103-4705 | 2020-10-02 |
1578993473 | Amy Brooks | Occupational Therapy Assistant | 7120 Port Sylvania Dr, Toledo, OH 43617-1158 | 2013-11-14 |
1437402146 | Amy Goldman Brooks | Nurse Practitioner | 3003 W Dr Martin Luther King Jr Blvd, 2nd Floor Mab, Tampa, FL 33607-6307 | 2012-10-18 |
1144518036 | Amy Elizabeth Brooks | Counselor | 84 Broadway, Richmond, CA 94804-1910 | 2011-07-13 |
1225214794 | Amy Lynn Brooks | Registered Nurse | 50 Medical Park Dr E, Birmingham, AL 35235-3401 | 2008-01-15 |
1336332162 | Amy Lynn Brooks | Nurse Practitioner | 9800 Broadway Extension, Suite 200, Oklahoma City, OK 73114-6304 | 2007-08-24 |
1588871362 | Amy Le-shea Brooks | Respiratory Therapist, Registered | 4850 E Andrew Johnson Hwy, Greeneville, TN 37745-3098 | 2007-05-17 |
1306978713 | Amy Elizabeth Brooks | Specialist/Technologist | 60 Shiloh Rd, Greeneville, TN 37745-0595 | 2007-03-12 |
1932268398 | Amy Elisabeth Brooks | Optometrist | 1637 Mount Vernon Rd, Suite 100, Dunwoody, GA 30338-4205 | 2006-12-08 |
Street Address |
1120 15TH STREET |
City | AUGUSTA |
State | GA |
Zip Code | 30912-0004 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447237375 | Ricardo Azziz | Obstetrics & Gynecology | 1120 15th Street, Augusta, GA 30912-0004 | 2005-12-30 |
1174094668 | Mary Gabrielle Helfgott | Advanced Practice Midwife | 1120 15th Street, Ba #7513, Augusta, GA 30912 | 2018-12-10 |
1912492471 | Sarah Crumley Asmann | Nurse Practitioner | 1120 15th Street, Department of Surgery, Augusta, GA 30912 | 2018-06-27 |
1912499286 | Jillian Marie Soto | Family Medicine | 1120 15th Street, Augusta, GA 30912 | 2018-06-03 |
1447740741 | Amanda Meredith Saxon | Nurse Practitioner | 1120 15th Street, Bbr 6518, Augusta, GA 30912 | 2018-05-14 |
1447757968 | Mohamed M Meghil | Student in an Organized Health Care Education/Training Program | 1120 15th Street, Gc-1337, Augusta, GA 30912 | 2018-04-11 |
1942721667 | Christopher Glen Jackson | Emergency Medicine | 1120 15th Street, Augusta, GA 30912 | 2017-07-03 |
1063933000 | Andrea Martinez-velez | Anesthesiology | 1120 15th Street, Augusta, GA 30912 | 2017-06-29 |
1063941409 | Viviam Skarleth Trejo | Surgery | 1120 15th Street, Augusta, GA 30912 | 2017-06-08 |
1548799976 | Alexander Herzog | Internal Medicine | 1120 15th Street, Augusta, GA 30912 | 2017-06-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548885940 | Hannah Gullickson Folsom | Family Medicine | 1459 Laney Walker Blvd Ae 3042, Augusta, GA 30912 | 2020-06-11 |
1487278909 | Robert Kennedy | Internal Medicine | Augusta University Internal Medicine Residency Program, 1120 15th Street, Bi 5070, Augusta, GA 30912 | 2020-06-01 |
1952968737 | Kayla M. Lasota | Pediatrics | 11230 115th St Ae3042, Augusta, GA 30912 | 2019-05-28 |
1003379280 | Kayla Cox | Internal Medicine | 1120 15th St Bi5070, Augusta, GA 30912 | 2019-04-13 |
1619435740 | Justin Ray Mackert | Student in an Organized Health Care Education/Training Program | Augusta University, 1120 15th Street, Gc 5110, Augusta, GA 30912 | 2019-03-07 |
1417444167 | Victor Celis | Dentist | John Wesley Gilbert Dr, Augusta, GA 30912 | 2018-04-18 |
1487157921 | Julie Ann Matsen | Student in an Organized Health Care Education/Training Program | 997 St. Sebastian Way, Eg-2021-10, Augusta Univ., Dept. of Psychiatry & Health Behavior, Augusta, GA 30912 | 2018-03-12 |
1497287031 | Luke Yuung-jier Chang | Ophthalmology | 1120 15th St # Ba2720, Augusta, GA 30912 | 2017-04-02 |
1821537622 | Lashawn Kay Boone | Nurse Practitioner | 1445 Harper St, Augusta, GA 30912 | 2017-02-14 |
1134675564 | Arnab Saha | Internal Medicine | 1120 15 Th St., Augusta, GA 30912 | 2016-08-26 |
Find all providers in zip 30912 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508147844 | Cassie Alexander | Nurse Practitioner | 1120 15th St # Bp-3448, Augusta, GA 30912-0004 | 2011-08-31 |
1700491503 | Chelsey Elana Pye | Nurse Practitioner | 820 Saint Sebastian Way Ste 7c, Augusta, GA 30901-2641 | 2020-09-09 |
1245857002 | Morgan Rowe | Nurse Practitioner | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-28 |
1558993576 | Robert Steven Blackwelder | Nurse Practitioner | 1120 15th St, Augusta, GA 30912-0004 | 2020-02-07 |
1962055590 | Victoria Aileen Shaver | Nurse Practitioner | 3651 Wheeler Rd, Augusta, GA 30909 | 2019-07-23 |
1215599527 | Sherwin Goering | Nurse Practitioner | 1350 Walton Way, Augusta, GA 30901-2612 | 2019-07-08 |
1487214151 | Cassandra Ebony Brown | Nurse Practitioner | 2258 Wrightsboro Rd Ste 400, Augusta, GA 30904-4788 | 2019-06-16 |
1801354816 | Daniel Mark Perrine | Nurse Practitioner | 1120 15th St # Bi1056, Augusta, GA 30912-0004 | 2019-03-08 |
1346720596 | Caroline Flake | Nurse Practitioner | 1348 Walton Way Ste 6700, Augusta, GA 30901-5111 | 2018-08-17 |
1639655301 | James Brinson IIi | Nurse Practitioner | 1120 15th St, Augusta, GA 30912-0004 | 2018-07-16 |
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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.