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Otisia Kenyona Brooks , LPN

Licensed Practical Nurse β€’ Alliance, OH

Active NPI 1558632711 Individual Practitioner Female Practitioner
Practice location in NPPES

200 E State St Fl 3
Alliance, OH 446014936

Call 3308218503 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

200 E State St Fl 3

Alliance, OH 446014936

Telephone 3308218503
Fax 3306270088
Organization at the Same NPPES Address or Phone
Commquest Services, Inc. Facility NPI 1730168311

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Canton, OH. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2012

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Alliance and Ohio

64 active clinicians are listed under Licensed Practical Nurse with a practice address in Alliance, OH (12,649 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Alliance

0% of these 64 clinicians have the CMS telehealth indicator.

0% of these 64 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

License # reported to NPPES OH LPN.119555.MEDS

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Secondary Practice Locations

2824 5th St Nw

Canton, OH 447084524

Phone: 3302689031

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Dr. Thomas Gibbs , DO

Family Medicine

NPI 1588764690

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
βœ…
NPI Profile Active October 11, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location October 11, 2017

Registered at 200 E STATE ST FL 3, ALLIANCE, OH 446014936 (Tel: 3308218503)

πŸ“
Updated Business Mailing Address October 11, 2017

Registered at 625 CLEVELAND AVE NW, CANTON, OH 447021805 (Tel: 3304538252)

πŸ‘€
Provider Name / Credentials Updated October 11, 2017

Recorded as OTISIA BROOKS, LPN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2017

Licensed Practical Nurse (license number reported to NPPES: OH LPN.119555.MEDS)

βœ…
NPI Profile Active January 19, 2012

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 19, 2012

Registered at 2824 5TH ST NW, CANTON, OH 447084524 (Tel: 3302689031)

πŸ“
Business Mailing Address (Initial Record) January 19, 2012

Registered at 2824 5TH ST NW, CANTON, OH 447084524 (Tel: 3302689031)

πŸ‘€
Provider Name / Credentials (Initial Record) January 19, 2012

Recorded as OTISIA BROOKS, LPN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2012

Licensed Practical Nurse (license number reported to NPPES: OH 119555)

🟒
Initial NPI Registration & Enumeration January 19, 2012

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1558632711
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 19, 2012
Last Update: March 17, 2018
Sole Proprietor: No

Mailing Address

625 Cleveland Ave Nw

Canton, OH 447021805

Phone: 3304538252

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.