BROOKSGATE INC. (NPI# 1952672578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952672578 |
| Entity Type | Organization |
| Organization Name | BROOKSGATE INC. |
| Practice Address |
6829 6th St Lubbock TX 79416-3769 |
| Mailing Address |
Po Box 16881 Lubbock TX 79490-6881 |
| Practice Telephone | 8062521507 |
| Practice Fax Number | 8067854929 |
| Mailing Telephone | 8062521507 |
| Mailing Fax Number | 8067854929 |
| Enumeration Date | 2012-01-13 |
| Last Update Date | 2012-01-13 |
| Authorized Official Name | MRS. MICHELE LYNN BROOKS (DIETITIAN, CDE) |
| Authorized Official Telephone | 8062521507 |
| Authorized Official Credential | RD, LD, CDE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | DT07317 | TX | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICARE ID - TYPE UNSPECIFIED | 8D3218 | 01 |
| Street Address |
6829 6TH ST |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79416-3769 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710502174 | Jordan Lane Thompson | Pharmacist | 6313 4th Street, Lubbock, TX 79416 | 2020-06-11 |
| 1821636481 | Chieh-an Chou | Specialist/Technologist | 201 N Winston Ave, Lubbock, TX 79416 | 2019-12-13 |
| 1790341949 | Michael Mcpherson, M.d. P.a. | Internal Medicine | 5406 Colgate St, Lubbock, TX 79416 | 2019-05-14 |
| 1154893675 | South Plains Rehabilitation Hospital, LLC | Rehabilitation Hospital | 5406 Colgate Street, Lubbock, TX 79416 | 2018-12-21 |
| 1932697182 | Timothy Sampana | Student in an Organized Health Care Education/Training Program | 5217 Lehigh St, Lubbock, TX 79416 | 2018-04-24 |
| 1306347711 | 4th Street Dental, Pllc | Dentist | 5709 4th St, Lubbock, TX 79416 | 2018-02-22 |
| 1639682503 | South Plains Surgery Center LLC | Clinic/Center | 4412 6th Street, Lubbock, TX 79416 | 2017-11-14 |
| 1013459809 | Isabel Garcia | Occupational Therapy Assistant | 1717 Northfolk Ave, #a, Lubbock, TX 79416 | 2016-11-09 |
| 1033589213 | Rehab Care | Skilled Nursing Facility | 1717 Norfork Ave, Bldg A, Lubbock, TX 79416 | 2015-10-01 |
| 1902281306 | Carrillon | Clinic/Center | 1717 Norfold Bld A, Lubbock, TX 79416 | 2015-07-27 |
| Find all providers in zip 79416 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265078372 | Kaitlin Pharis Smith | Dietitian, Registered | 3004 50th St Ste A, Lubbock, TX 79413-4129 | 2019-11-24 |
| 1467095513 | Sophia Maria Martinez | Dietitian, Registered | 6104 Avenue Q, Lubbock, TX 79412-3506 | 2019-10-22 |
| 1205331998 | Lauren Blechle | Dietitian, Registered | 3615 19th St Bldg 17, Lubbock, TX 79410-1203 | 2018-03-26 |
| 1003357518 | Emmy Lu Henley | Dietitian, Registered | 6520 University Ave, Suite 5, Lubbock, TX 79413 | 2017-03-16 |
| 1730635129 | Katy Rebecca-franklin Poff | Dietitian, Registered | 7008 Indiana Avenue, Suite A, Lubbock, TX 79413 | 2016-08-26 |
| 1639531254 | Lori Ann Boyd | Dietitian, Registered | 2412 50 Th Street, Lubbock, TX 79412 | 2016-03-23 |
| 1972918126 | Premier Nutrition Consulting, LLC | Dietitian, Registered | 2907 Bates St, Lubbock, TX 79415-2646 | 2014-06-26 |
| 1790199248 | Tiffany Ann Quevedo | Dietitian, Registered | 3008 55th St, Lubbock, TX 79413-4802 | 2014-06-12 |
| 1326486549 | Amy Ashmore | Dietitian, Registered | 602 Indiana Ave # 5980, Lubbock, TX 79415-3364 | 2013-06-10 |
| 1962701615 | Lynda Diane March | Dietitian, Registered | 3302 County Road 7530, Lubbock, TX 79423-6381 | 2011-03-21 |
| Find all providers in LUBBOCK | ||||
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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.