JINEE MARIE BROOKS (NPI# 1790349520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790349520 |
| Entity Type | Individual |
| Full Name | JINEE MARIE BROOKS |
| Credential | MD |
| Practice Address |
200 Clinic Dr Madisonville KY 42431-1661 |
| Mailing Address |
2700 Stanley Gault Pkwy Ste 129 Louisville KY 40223-5176 |
| Practice Telephone | 2708256680 |
| Practice Fax Number | 2708257266 |
| Mailing Telephone | 5022534900 |
| Mailing Fax Number | 5024895750 |
| Enumeration Date | 2019-04-26 |
| Last Update Date | 2020-08-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | R4991 | KY | Allopathic & Osteopathic Physicians |
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | PENDING | 05 |
| Street Address |
200 CLINIC DR |
| City | MADISONVILLE |
| State | KY |
| Zip Code | 42431-1661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033116132 | James Criss Yelton | Orthopaedic Surgery | 200 Clinic Dr, Madisonville, KY 42431-1661 | 2005-07-05 |
| 1881207355 | Ronnie Leif Knudsen | Pharmacist | 200 Clinic Dr, Madisonville, KY 42431-1661 | 2020-08-25 |
| 1366051922 | Eric Aodh O'reilly | Student in an Organized Health Care Education/Training Program | 200 Clinic Dr, Madisonville, KY 42431-1661 | 2020-07-29 |
| 1841829124 | Stuart D Le | Student in an Organized Health Care Education/Training Program | 200 Clinic Dr, Madisonville, KY 42431-1661 | 2020-04-07 |
| 1386273654 | Folaranmi Ajiboye | Student in an Organized Health Care Education/Training Program | 200 Clinic Dr, Madisonville, KY 42431-1661 | 2020-04-07 |
| 1154950434 | Alexander B Weber | Student in an Organized Health Care Education/Training Program | 200 Clinic Dr, Madisonville, KY 42431-1661 | 2020-04-07 |
| 1174152458 | Kyle A Romines | Student in an Organized Health Care Education/Training Program | 200 Clinic Dr, Madisonville, KY 42431-1661 | 2020-04-07 |
| 1346879624 | Lohita Nulu | Student in an Organized Health Care Education/Training Program | 200 Clinic Dr, Madisonville, KY 42431-1661 | 2020-04-07 |
| 1255961827 | Melinda Nightingale | Nurse Practitioner | 200 Clinic Dr, Madisonville, KY 42431-1661 | 2020-01-22 |
| 1093366858 | Heather Koren Wyatt | Peer Specialist | 200 Clinic Dr, Madisonville, KY 42431-1661 | 2019-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750846309 | Sarah Davenport Ziegler | Registered Nurse | 3050 Nebo Rd, Madisonville, KY 42431 | 2019-02-08 |
| 1134604903 | Kelsey Dawn Wilson | Occupational Therapist | 425 Island Ford Rd, Madisonville, KY 42431 | 2018-09-27 |
| 1174006209 | Shaun Vickery | Physical Therapist | 425 Island Ford Road, Madisonville, KY 42431 | 2018-09-14 |
| 1881115384 | Filza Tajik | Speech-Language Pathologist | 1305-1 W. Noel Ave, Unit 1, Madisonville, KY 42431 | 2017-07-05 |
| 1245769280 | Susan Hart | Student in an Organized Health Care Education/Training Program | 200 Clinic Drive, Third North, Madisonville, KY 42431 | 2017-06-05 |
| 1811363880 | Cory Eakins | Nutritionist | 2223 S Main St, Madisonville, KY 42431 | 2015-08-13 |
| 1932598257 | Deidra Boyken | Counselor | 145 E. Center Street Suite 1d, Madisonville, KY 42431 | 2015-01-12 |
| 1841602398 | Jessica France | Occupational Therapist | 339 S Seminary St, Madisonville, KY 42431 | 2014-06-02 |
| 1497097562 | Sunrise Children's Services | Community/Behavioral Health | 1079 Thornberry Dr Ste 203, Madisonville, KY 42431 | 2013-03-26 |
| 1013275023 | Creasha King | Counselor | 1079 Thornberry Dr Ste B, Madisonville, KY 42431 | 2012-04-26 |
| Find all providers in zip 42431 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811509748 | Mary Newell | Student in an Organized Health Care Education/Training Program | 406 Morgan St, Madisonville, LA 70447-9461 | 2020-08-21 |
| 1538779103 | Katherine Labonte | Student in an Organized Health Care Education/Training Program | 681 Windermere Xing W, Madisonville, LA 70447-3137 | 2020-08-07 |
| 1245769280 | Susan Hart | Student in an Organized Health Care Education/Training Program | 200 Clinic Drive, Third North, Madisonville, KY 42431 | 2017-06-05 |
| 1366051922 | Eric Aodh O'reilly | Student in an Organized Health Care Education/Training Program | 200 Clinic Dr, Madisonville, KY 42431-1661 | 2020-07-29 |
| 1841829124 | Stuart D Le | Student in an Organized Health Care Education/Training Program | 200 Clinic Dr, Madisonville, KY 42431-1661 | 2020-04-07 |
| 1386273654 | Folaranmi Ajiboye | Student in an Organized Health Care Education/Training Program | 200 Clinic Dr, Madisonville, KY 42431-1661 | 2020-04-07 |
| 1154950434 | Alexander B Weber | Student in an Organized Health Care Education/Training Program | 200 Clinic Dr, Madisonville, KY 42431-1661 | 2020-04-07 |
| 1174152458 | Kyle A Romines | Student in an Organized Health Care Education/Training Program | 200 Clinic Dr, Madisonville, KY 42431-1661 | 2020-04-07 |
| 1346879624 | Lohita Nulu | Student in an Organized Health Care Education/Training Program | 200 Clinic Dr, Madisonville, KY 42431-1661 | 2020-04-07 |
| 1508425935 | Anne Taylor Beck | Student in an Organized Health Care Education/Training Program | 900 Hospital Dr, Madisonville, KY 42431-1644 | 2019-06-10 |
| Find all providers in MADISONVILLE | ||||
| City | MADISONVILLE |
| Zip Code | 42431 |
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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.