MRS. MARY C. BROOKS (NPI# 1952327611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952327611 |
| Entity Type | Individual |
| Full Name | MRS. MARY C. BROOKS |
| Other Name | MRS. MARY LYNN GRAHAM-ANDERSON |
| Credential | ARNP |
| Practice Address |
12050 E Colonial Dr Orlando FL 32826-4705 |
| Mailing Address |
6101 Lake Ellenor Dr Orlando FL 32809-4616 |
| Practice Telephone | 4078381495 |
| Practice Fax Number | 4072494456 |
| Mailing Telephone | 4078581400 |
| Mailing Fax Number | 4078585523 |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2015-03-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | ARNP 9240995 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN9240995 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 307516800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740743343 | Mary Kathleen Brooks | Speech-Language Pathologist | 3054 Clarkson Dr, Abingdon, MD 21009-2759 | 2019-04-10 |
| 1346754215 | Mary Imani Brooks | Social Worker | 700 S Fairfield Dr, Peachtree City, GA 30269 | 2017-11-29 |
| 1407370737 | Mary Brooks | Nurse Practitioner | 3788 Gatlin Place Circle, Orlando, FL 32812 | 2017-07-28 |
| 1144672452 | Mary Brooks | Specialist/Technologist | 2783 Arrowhead Trl, Oxford, OH 45056-9604 | 2016-07-11 |
| 1548660087 | Mary Kraft Brooks | Social Worker | 21174 Manchester Blvd, Harper Woods, MI 48225-1810 | 2014-09-03 |
| 1497077705 | Mary Shannon Brooks | Counselor | 2525 Wallingwood Dr Ste 700, Austin, TX 78746-6929 | 2010-02-28 |
| 1558498808 | Mary Phyllis Brooks | Social Worker | 901 Goodyear Ave, Gadsden, AL 35903-1106 | 2007-02-27 |
| 1558402917 | Mary Brooks | Counselor | 6400 S 70th St, Lincoln, NE 68516-3763 | 2007-02-09 |
| 1073520243 | Mary Louise Brooks | Licensed Practical Nurse | 96 Mill St, Nelsonville, OH 45764 | 2006-08-01 |
| 1275598930 | Mary Brooks | Nurse Anesthetist, Certified Registered | 207 Foote Avenue, Jamestown, NY 14702 | 2006-04-18 |
| Street Address |
12050 E COLONIAL DR |
| City | ORLANDO |
| State | FL |
| Zip Code | 32826-4705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093230120 | Jennifer Brown | Speech-Language Pathologist | 12050 E Colonial Dr, Orlando, FL 32826-4705 | 2017-08-10 |
| 1598785586 | Patricia Ruth Thompson | Nurse Practitioner | 12050 E Colonial Dr, Orlando, FL 32826-4705 | 2006-07-20 |
| 1508886128 | Miriam Becker | Advanced Practice Midwife | 12050 E Colonial Dr, Women'shealth Clinic, Orlando, FL 32826-4705 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851908859 | Deja Duclos | Student in an Organized Health Care Education/Training Program | 12201 Research Pakwy, Suite 300, Orlando, FL 32826 | 2020-09-24 |
| 1407330145 | Providence Dental LLC | Dentist | 12450 E. Colonial Drive Suite 124, Orlando, FL 32826 | 2018-09-19 |
| 1013404391 | Maria Elena Burgett | Massage Therapist | 1858 N Alafaya Trl Ste 209, Orlando, FL 32826 | 2018-04-22 |
| 1033646112 | Shayna Anne Ellery | Behavior Technician | 2100 N Alafaya Trl Ste 300, Orlando, FL 32826 | 2017-05-19 |
| 1003341769 | Samantha Justyn | Pharmacist | 12612 Challenger Parkway, Suite 365, Orlando, FL 32826 | 2017-05-01 |
| 1083152946 | Brenda Garcia | Counselor | 3157 N. Alafaya Trail, Orlando, FL 32826 | 2017-02-10 |
| 1588106017 | Christina Marie Calamis | Behavior Technician | 2100 N Alafaya Trl, Orlando, FL 32826 | 2016-11-15 |
| 1427406115 | Leslie Selina Bennett | Behavioral Analyst | 13645 E Colonial Dr Apt D390, Orlando, FL 32826 | 2016-06-02 |
| 1003219130 | Helen Waller | Social Worker | 12080 Mendel Dr, Orlando, FL 32826 | 2014-10-03 |
| 1992070783 | Erin Jean Pearce | Nurse Practitioner | 3151 North Alafaya Trail Suite 101, Orlando, FL 32826 | 2012-03-13 |
| Find all providers in zip 32826 | ||||
| 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 |
|---|---|---|---|---|
| 1891395125 | Olayemi Olusola Agbaje | Nurse Practitioner | 5900 Lake Ellenor Dr Ste 150, Orlando, FL 32809-4663 | 2020-10-27 |
| 1871192054 | Maria Lena Afxendiou | Nurse Practitioner | 11058 Grande Pines Cir Apt 821, Orlando, FL 32821-9333 | 2020-10-20 |
| 1396352316 | Erin Fahy | Nurse Practitioner | 2737 Rainbow Springs Ln, Orlando, FL 32828-7783 | 2020-09-24 |
| 1093321457 | Sherry Benson Loiselle | Nurse Practitioner | 19407 Charrice Ct, Orlando, FL 32833-5528 | 2020-09-21 |
| 1861003949 | Raul Junior Beltran | Nurse Practitioner | 1612 E Central Blvd, Orlando, FL 32803-5902 | 2020-08-12 |
| 1780202945 | Vivi Nguyen | Nurse Practitioner | 1700 Sand Lake Rd Ste D112, Orlando, FL 32809-9149 | 2020-07-13 |
| 1902424385 | Estel Angelika Hernandez | Nurse Practitioner | 16039 Old Cheney Hwy, Orlando, FL 32833-2716 | 2020-07-11 |
| 1801414727 | Teresa A Kamps | Nurse Practitioner | 1850 Oak Grove Chase Dr, Orlando, FL 32820-2265 | 2020-07-07 |
| 1073130688 | Iris N Bosse | Nurse Practitioner | 10401 Post Office Blvd W Unit 621212, Orlando, FL 32862-8485 | 2020-06-30 |
| 1902430473 | Faith Daza | Nurse Practitioner | 14315 Golden Rain Tree Blvd, Orlando, FL 32828-4843 | 2020-02-24 |
| Find all providers in ORLANDO | ||||
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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.