1508308065 NPI number — LINSEY KAYE BROOKS WHNP-BC, FNP-C

NPI Number: 1508308065
Health Care Provider/Practitioner: LINSEY KAYE BROOKS WHNP-BC, FNP-C

NPI Number : 1508308065 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1508308065",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BROOKS",
    "FirstName": "LINSEY",
    "MiddleName": "KAYE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "WHNP-BC, FNP-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "364 GEORGIA ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "THERMOPOLIS",
    "MailingAddressStateName": "WY",
    "MailingAddressPostalCode": "82443-9601",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "307-760-7333",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "120 N C AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "THERMOPOLIS",
    "PracticeLocationAddressStateName": "WY",
    "PracticeLocationAddressPostalCode": "82443-2410",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "307-864-5534",
    "PracticeLocationAddressFaxNumber": "307-864-5226",
    "EnumerationDate": "11/14/2016",
    "LastUpdateDate": "03/17/2018",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363LW0102X",
          "TaxonomyName": "Women's Health Nurse Practitioner",
          "LicenseNumber": "38656.1564",
          "LicenseNumberStateCode": "WY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363L00000X",
          "TaxonomyName": "Nurse Practitioner",
          "LicenseNumber": "385656.1564",
          "LicenseNumberStateCode": "WY",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}