MRS. BROOKE NICOLE-HAYES MASSENBURG (NPI# 1861046773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861046773 |
| Entity Type | Individual |
| Full Name | MRS. BROOKE NICOLE-HAYES MASSENBURG |
| Credential | FNP-BC |
| Practice Address |
31 E Main Ave Taylorsville NC 28681-2540 |
| Practice Telephone | 7048720234 |
| Mailing Telephone | 7048720234 |
| Enumeration Date | 2019-07-29 |
| Last Update Date | 2019-07-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5012064 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 298 Fesperman Cir, Troutman, NC 281663400 | 7046828124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619463759 | Brooke Massenburg | Behavior Technician | 4225 Portsmouth Blvd Ste B, Chesapeake, VA 23321-2154 | 2018-07-02 |
| Street Address |
31 E MAIN AVE |
| City | TAYLORSVILLE |
| State | NC |
| Zip Code | 28681-2540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063997237 | Kimberly Rochelle Black | Counselor | 31 E Main Ave, Taylorsville, NC 28681-2540 | 2018-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679137665 | Kenzi Care LLC | Assisted Living Facility | 668 Wood Rd, Taylorsville, NC 28681 | 2019-04-25 |
| 1831651918 | Rebecca Ann Soltysiak | Speech-Language Pathologist | 581 Hwy 16 South, Taylorsville, NC 28681 | 2019-04-05 |
| 1356790745 | Carolina Dental Care Centere | Dentist | 556 Nc-16, Taylorsville, NC 28681 | 2016-06-07 |
| 1952738999 | Changing Lives Now LLC | Residential Treatment Facility, Emotionally Disturbed Children | 3598 North Carolina 90, Taylorsville, NC 28681 | 2013-10-05 |
| 1952642472 | Counseling and Support Associates, PC | Community/Behavioral Health | 121 E. Main Ave., Taylorsville, NC 28681 | 2013-03-07 |
| 1649550237 | Matthew Tyler Holland | Chiropractor | 92 Main Ave Drive, Taylorsville, NC 28681 | 2011-08-26 |
| 1811147358 | Sachi J Jhaveri-mehta | Psychologist | 630 Old Landfill Road, Taylorsville, NC 28681 | 2008-09-21 |
| 1033324421 | Jack T. Brinkley, D.m.d., P.a. | Dentist | 163 Main Avenue Drive, Taylorsville, NC 28681 | 2007-05-11 |
| 1649303579 | Comserv, Inc. | Intermediate Care Facility, Mentally Retarded | 4165 Nc Highway 127, Taylorsville, NC 28681 | 2007-03-13 |
| 1144381765 | Diane Gaines | Counselor | 397 3rd Avenue Sw, Taylorsville, NC 28681 | 2006-12-13 |
| Find all providers in zip 28681 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245890383 | Arlene R Holland | Nurse Practitioner | 3042 W Ivory Way, Taylorsville, UT 84129-6800 | 2019-06-20 |
| 1821562646 | Emily Rose Pierce | Nurse Practitioner | 1127 Chatman Ln, Taylorsville, KY 40071-9783 | 2019-01-15 |
| 1023467313 | Carrie Chestnut Herman | Nurse Practitioner | 50 Macedonia Church Rd Ste A, Taylorsville, NC 28681-8414 | 2016-06-07 |
| 1831334077 | Michelle A. Neeshan | Nurse Practitioner | 4600 S Redwood Rd # Stc048, Taylorsville, UT 84123-3145 | 2008-12-02 |
| 1154375020 | Ethel Darline Luster Caldwell | Nurse Practitioner | 870 Taylorsville Road, Taylorsville, KY 40071 | 2006-05-22 |
| 1104815141 | Sharon S Jamison | Nurse Practitioner | 501 Taylorsville Rd, Taylorsville, KY 40071-6766 | 2005-10-20 |
| 1932718590 | Darren L Sorensen | Nurse Practitioner | 6575 S Redwood Rd, Taylorsville, UT 84123-5688 | 2020-07-29 |
| 1285269241 | Lucretia Davis | Nurse Practitioner | 625 Taylorsville Rd, Taylorsville, KY 40071-7798 | 2020-03-10 |
| 1447891676 | Shamis Tate | Nurse Practitioner | 6575 S Redwood Rd Ste 350, Taylorsville, UT 84123-5693 | 2019-09-29 |
| 1700303518 | Tara Tedder | Nurse Practitioner | 338 1st Ave Sw, Taylorsville, NC 28681-2402 | 2017-08-23 |
| Find all providers in TAYLORSVILLE | ||||
| City | TAYLORSVILLE |
| Zip Code | 28681 |
Please comment or provide details below to improve the information on MRS. BROOKE NICOLE-HAYES MASSENBURG.
| 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.