MRS. KIMBERLEY GAYLE BROOKS (NPI# 1467970145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467970145 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLEY GAYLE BROOKS |
| Credential | APRN |
| Practice Address |
507 Denali Pass Cedar Park TX 78613 |
| Mailing Address |
Po Box 911230 Dallas TX 75391-1230 |
| Practice Telephone | 7372102940 |
| Practice Fax Number | 8777964340 |
| Mailing Telephone | 9729978000 |
| Mailing Fax Number | 9722340813 |
| Enumeration Date | 2017-09-01 |
| Last Update Date | 2018-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | AP134908 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 388095701 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 507 Denali Pass, Cedar Park, TX 786137766 | 7372102940 | 8777964340 |
| Street Address |
507 DENALI PASS |
| City | CEDAR PARK |
| State | TX |
| Zip Code | 78613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962057539 | David M Jinright, Lcsw Pllc | Social Worker | 507 Denali Pass, Cedar Park, TX 78613-7978 | 2019-08-09 |
| 1003101486 | Bacliff Family Healthcare, Pllc | Internal Medicine | 507 Denali Pass, Cedar Park, TX 78613-7766 | 2011-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891280 | Honor Audiology, LLC | Audiologist | 1807 Cypress Creek, Ste 106, Ceder Park, TX 78613 | 2020-11-03 |
| 1750980801 | Sheneil Roberts | Pharmacist | 101 Commercial Pkwy, Cedar Park, TX 78613 | 2020-10-20 |
| 1821606674 | Whitney Olivia White | Dentist | 4807 183a, Ste 100, Cedar Park, TX 78613 | 2020-07-17 |
| 1427681436 | Alex Parnell | Marriage & Family Therapist | 3000 Polar Lane, 602, Cedar Park, TX 78613 | 2020-02-18 |
| 1497216642 | Rolling Hills Healthcare, Inc. | Hospice Care, Community Based | 1101 Arrow Point Dr Ste 301, Cedar Park, TX 78613 | 2019-03-29 |
| 1265907828 | Mary Kathleen Williams | Clinical Nurse Specialist | 1103 Pagedale Drive, Cedar Park, TX 78613 | 2018-10-10 |
| 1982187514 | Elizabeth Harwell | Physical Therapy Assistant | 1500 Cottonwood Creek Trail, Cedar Park, TX 78613 | 2018-09-10 |
| 1346722246 | Riddhi Gohel | Optometrist | 11200 Lakeline Mall Dr Ste H5, Cedar Park, TX 78613 | 2018-09-06 |
| 1528546736 | Lakeline Emergency Center, LLC | Clinic/Center | 1860 S. Lakeline Blvd, Cedar Park, TX 78613 | 2018-07-31 |
| 1710464458 | Kelsey Alyse Hayes | Dietitian, Registered | 1401 Medical Pkwy B, Suite 101, Cedar Park, TX 78613 | 2018-07-25 |
| Find all providers in zip 78613 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548714124 | Megan Jones | Clinical Nurse Specialist | 1401 Medical Pkwy # B, Suite 412, Cedar Park, TX 78613-7763 | 2016-08-11 |
| 1346794385 | Texas Oncology Pa | Clinical Nurse Specialist | 1401 Medical Pkwy Ste 412, Cedar Park, TX 78613-5015 | 2016-08-08 |
| 1699930628 | Mary Zoe Blackburn | Clinical Nurse Specialist | 351 Cypress Creek Rd, Suite 201, Cedar Park, TX 78613-4528 | 2008-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962016519 | Jennie Rose Posey | Clinical Nurse Specialist | 6500 N. Mopac Expressway, Building 3, Suite 200, Austin, TX 78731 | 2020-09-01 |
| 1144843103 | Katie Elaine Malone | Clinical Nurse Specialist | 1325 Pennsylvania Ave Ste 500, Fort Worth, TX 76104-2130 | 2020-05-26 |
| 1912561051 | Princess Rollins Holt | Clinical Nurse Specialist | 2300 Highland Village Rd Ste 300, Highland Village, TX 75077-7157 | 2019-04-24 |
| 1538646062 | William Stone | Clinical Nurse Specialist | 1400 Clarewood Dr Apt 325, San Marcos, TX 78666-8034 | 2018-07-26 |
| 1831680040 | Carmen Floy Lagrone | Clinical Nurse Specialist | 6901 Mckinney Falls Pkwy, Austin, TX 78744-8401 | 2018-05-23 |
| 1891206835 | Rebecca Robles | Clinical Nurse Specialist | 2500 West Fwy Ste 200, Fort Worth, TX 76102-5851 | 2017-10-17 |
| 1932637378 | Virginia Ducote Remeny | Clinical Nurse Specialist | 4316 Companeros Way, Austin, TX 78749-3650 | 2017-05-30 |
| 1689101651 | Mary Beth Mollenkopf | Clinical Nurse Specialist | 1130 Hoffman Rd, Seguin, TX 78155-0956 | 2017-05-21 |
| 1821532565 | Equilibre Clinic LLC | Clinical Nurse Specialist | 6025 Metropolitan Dr Ste 210, Beaumont, TX 77706-2409 | 2016-12-15 |
| 1285032656 | Icarepro of Texas, Pa | Clinical Nurse Specialist | 2301 Cedar Ridge Rd, Waco, TX 76708-2347 | 2014-12-16 |
| Find all providers with the same taxonomy | ||||
| City | CEDAR PARK |
| Zip Code | 78613 |
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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.