BROOKE DAVIS (NPI# 1235686759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235686759 |
| Entity Type | Individual |
| Full Name | BROOKE DAVIS |
| Other Name | BROOKE REBBE |
| Credential | NP |
| Practice Address |
1302 Franklin Ave Suite 4800 Normal IL 61761-3551 |
| Practice Telephone | 3094545900 |
| Practice Fax Number | 3094542820 |
| Mailing Telephone | 3094545900 |
| Mailing Fax Number | 3094542820 |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2017-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 209014769 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215554589 | Brooke Brianne Davis | Speech-Language Pathologist | 1406 Bellevue Rd, Dublin, GA 31021-2956 | 2020-07-02 |
| 1982231254 | Brooke Davis | Student in an Organized Health Care Education/Training Program | 1600 S Andrews Ave, Fort Lauderdale, FL 33316-2510 | 2020-03-25 |
| 1407491087 | Brooke Lynette Davis | Student in an Organized Health Care Education/Training Program | 2450 S Vine St, Denver, CO 80210-5264 | 2019-11-07 |
| 1003463969 | Brooke Alyssa Davis | Nurse Practitioner | 2630 E 7th St Ste 210, Charlotte, NC 28204-4319 | 2019-08-23 |
| 1720632615 | Brooke Davis | Health Educator | 2101 N Waldron St, Hutchinson, KS 67502-1197 | 2019-07-29 |
| 1629534979 | Brooke Renee Davis | Registered Nurse | 1340 Hal Greer Blvd, Huntington, WV 25701-0195 | 2019-02-12 |
| 1346753662 | Brooke Davis | Counselor | 111 N High St, Waverly, OH 45690 | 2017-11-08 |
| 1437603636 | Brooke Davis | Social Worker | 12271 Us Highway 301 N, Parrish, FL 34219-8410 | 2016-08-05 |
| 1396128013 | Brooke Davis | Community Health Worker | 400 North East Third, Kingston, OK 73439 | 2015-06-30 |
| 1710371844 | Brooke Davis | Specialist/Technologist | 59 College Ave, Buckhannon, WV 26201-2600 | 2015-03-26 |
| Street Address |
1302 FRANKLIN AVE SUITE 4800 |
| City | NORMAL |
| State | IL |
| Zip Code | 61761-3551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063419679 | John D Fulk | Physician Assistant | 1302 Franklin Ave, Suite 4800, Normal, IL 61761-3551 | 2005-06-29 |
| 1043676109 | Amy J Stites | Physician Assistant | 1302 Franklin Ave, Suite 4800, Normal, IL 61761-3551 | 2016-01-05 |
| 1255700316 | Abigail G Cervantes | Obstetrics & Gynecology | 1302 Franklin Ave, Suite 2800, Normal, IL 61761-6526 | 2015-09-18 |
| 1700252228 | Prairieland Outpatient Diagnostic Center, LLC | Anesthesiology | 1302 Franklin Ave, Suite 1000, Normal, IL 61761-3551 | 2015-08-19 |
| 1467860445 | Christie Rocke | Nurse Practitioner | 1302 Franklin Ave, Suite 3400, Normal, IL 61761-3551 | 2014-07-23 |
| 1114343225 | Jennifer Lanz | Nurse Practitioner | 1302 Franklin Ave, Suite 4500, Normal, IL 61761-3551 | 2014-03-13 |
| 1396189411 | Consulting Anesthesiologists LLC | Anesthesiology | 1302 Franklin Ave, Normal, IL 61761-3551 | 2013-04-19 |
| 1285903799 | Bromenn Physicians Management Corporation | Counselor | 1302 Franklin Ave, Suite 1100, Normal, IL 61761-3551 | 2011-12-29 |
| 1922377431 | Bromenn Physicians Management Corporation | Internal Medicine | 1302 Franklin Ave, Suite 4500, Normal, IL 61761-3551 | 2011-12-29 |
| 1033494455 | Maneesha T Joseph | Registered Nurse | 1302 Franklin Ave, Suite 3400, Normal, IL 61761-3551 | 2011-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629681796 | Brittany Nicole Mekley | Nurse Practitioner | 201 N. University, Normal, IL 61761 | 2020-08-28 |
| 1679108971 | Krystal Halliday | Occupational Therapist | 1815 N Towanda Barnes Rd, Normal, IL 61761 | 2020-03-06 |
| 1265915474 | Laine E Burek | Nurse Practitioner | 1765 Bradford Ln., Normal, IL 61761 | 2018-09-13 |
| 1801389986 | Ashley Michelle James | Specialist/Technologist | 347 S. University St, Normal, IL 61761 | 2018-06-12 |
| 1447750708 | Shelley R. Ruch | Specialist/Technologist, Other | 1604 Visa Drive, Ste 1, Normal, IL 61761 | 2018-02-13 |
| 1497275069 | Mclean County Nursing Home | Non-emergency Medical Transport (VAN) | 901 N. Main St, Normal, IL 61761 | 2017-06-23 |
| 1235673666 | Megan Threm | Registered Nurse | 900 Franklin Ave Community Health Care Clinic, Normal, IL 61761 | 2016-12-04 |
| 1437513553 | Tiesha Smith | Specialist | 1800 Rockingham Dr, Apt 1d, Normal, IL 61761 | 2016-04-06 |
| 1285031658 | New Day Recovery | Community/Behavioral Health | 402 Summit, Normal, IL 61761 | 2014-12-01 |
| 1174927701 | Alyssa Marie Bruck | Occupational Therapist | 700 N Walnut St, Normal, IL 61761 | 2014-10-10 |
| Find all providers in zip 61761 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265915474 | Laine E Burek | Nurse Practitioner | 1765 Bradford Ln., Normal, IL 61761 | 2018-09-13 |
| 1679920375 | Yvette Renee Pigman | Nurse Practitioner | 201 North University, Illinois State Studnet Health Services, Normal, IL 61790 | 2016-05-23 |
| 1396705638 | Diane L Waters | Nurse Practitioner | College and University-2540, Normal, IL 61790-2540 | 2006-03-23 |
| 1518513605 | Melissa A Hardesty | Nurse Practitioner | 2200 Fort Jesse Rd Ste 110, Normal, IL 61761-6286 | 2019-08-14 |
| 1184285926 | April Guilliams | Nurse Practitioner | 405 Kays Dr Ste C, Normal, IL 61761-1979 | 2019-06-24 |
| 1710460944 | Sarah Smock | Nurse Practitioner | 2200 Fort Jesse Rd Ste 110, Normal, IL 61761-6286 | 2018-09-13 |
| 1134608763 | Michelle Steele | Nurse Practitioner | 482 Wylie Dr, Normal, IL 61761-5405 | 2018-08-14 |
| 1245688209 | Lindsay Connor | Nurse Practitioner | 2200 Fort Jesse Rd, Suite 110, Normal, IL 61761-6286 | 2016-06-01 |
| 1750737243 | Lori Verkler | Nurse Practitioner | 2200 Fort Jesse Rd Ste 110, Normal, IL 61761-6286 | 2016-05-13 |
| 1437499803 | Kristin Kendrick | Nurse Practitioner | 2200 Fort Jesse Rd Ste 110, Normal, IL 61761-6286 | 2013-02-22 |
| Find all providers in NORMAL | ||||
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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.