KRISTIN BROOKS


Address: 336 Ne Norton Ave. Ste. 3, Bend, OR 97701-3598
Phone: (541) 350-6913

KRISTIN BROOKS (NPI# 1699906305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699906305
Entity Type Individual
Full Name KRISTIN BROOKS
Credential PMHNP
Practice Address 336 Ne Norton Ave. Ste. 3
Bend
OR 97701-3598
Mailing Address 336 Ne Norton Ave. Ste. 3
Bend
OR 97701-4386
Practice Telephone (541) 350-6913
Practice Fax Number 8662337513
Mailing Telephone (541) 350-6913
Mailing Fax Number 8662337513
Enumeration Date 2009-07-29
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
201050080NP OR Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
965 Sw Emkay Dr, Ste. 200, Bend, OR 977023598 5413506913 8662337513

Other Providers KRISTIN BROOKS

NPI Name Taxonomy Address Enumeration
1902450794 Kristin Lee Brooks Counselor 1100 Ridgefield Blvd Ste 190, Asheville, NC 28806-6211 2019-07-30

Office Location

Street Address 336 NE NORTON AVE. STE. 3
City BEND
State OR
Zip Code 97701-3598

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578934535 Kimberly Sue Butler Nurse Practitioner 339 Sw Century Dr Ste 101, Bend, OR 97702-1199 2015-10-15
1528317898 Kara Lynn Kelly Nurse Practitioner 339 Sw Century Dr, Suite 101, Bend, OR 97702-1198 2012-09-02
1114273711 Deborah Macwilliams Nurse Practitioner 731 Nw Franklin Ave Ste 104, Bend, OR 97703 2012-08-01
1801122668 Kay Oliver Nurse Practitioner 1010 Nw Harriman St, Suite A, Bend, OR 97701-1912 2009-10-28
1003071499 Nicholas J Campo IIi Nurse Practitioner 233 Sw Wilson Ave Ste 201, Bend, OR 97702-2988 2008-07-24
1922180777 Deborah Padgett Coehlo Nurse Practitioner 62930 O B Riley Rd Ste 300, Bend, OR 97703-9459 2006-10-20
1033718242 Hagen Psychiatry LLC Nurse Practitioner 2955 N Highway 97 Ste 100, Bend, OR 97703-7559 2020-10-19
1235766510 Richard Dean Akers Nurse Practitioner 2577 Ne Courtney Dr, Bend, OR 97701-7752 2020-03-25
1952854481 Kara Kelly, LLC Nurse Practitioner 2955 N Hwy 97, Suite 102, Bend, OR 97703-7559 2016-08-02
1386091734 Bridget Knight Nurse Practitioner 2577 Ne Courtney Dr, Bend, OR 97701-7638 2016-05-16
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Competitor

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City BEND
Zip Code 97701

Improve Information

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Dataset Information

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.

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