OLE BROOK KIDS, P.C.
NPI 1649051046
Nurse Practitioner - Pediatrics in Brookhaven, MS
NPI Status: Active since October 11, 2023
Contact Information
508 BROOKWAY BLVD
BROOKHAVEN, MS
ZIP 39601
Phone: (601) 835-1062
- Organization
- Nurse Practitioner
- Pediatrics
- Accepts Insurance
- CLIA Number: 25D2293540
- CLIA Cert. Type: Practitioner Other
- CLIA Exp. Date: 11-08-2027
About OLE BROOK KIDS, P.C.
This page provides the complete NPI Profile along with additional information for Ole Brook Kids, P.c., a provider established in Brookhaven, Mississippi operating as a Nurse Practitioner, focusing in pediatrics . The healthcare provider is registered in the NPI registry with number 1649051046 assigned on October 2023. The practitioner's primary taxonomy code is 363LP0200X. The provider is registered as an organization and their NPI record was last updated January 2026. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mrs. Amber Nicole Martin Aprn, Cpnp (Owner/nurse Practitioner)
- NPI
- 1649051046
- Provider Name
- OLE BROOK KIDS, P.C.
- Entity Type
- Organization
- Location Address
- 508 BROOKWAY BLVD BROOKHAVEN, MS 39601
- Location Phone
- (601) 835-1062
- Mailing Address
- PO BOX 1403 BROOKHAVEN, MS 39602
- Mailing Phone
- (601) 757-9689
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-11-2023
- Last Update Date
- 01-25-2026
- Code Navigator
A nurse practitioner (NP) like Ole Brook Kids, P.c. is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Secondary Locations
- 301C Highway 51 S
Brookhaven, MS 39601
(601) 835-1062
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Pediatrics
- Taxonomy Code
- 363LP0200X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Molina Gold Standard - HMO
- Molina Silver Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 25D2293540
- Facility Type
- Practitioner Other
- Certificate Effective Date
- November 09, 2025
- Certificate Expiration Date
- November 08, 2027
- Laboratory Director
- KAYLA D. THURMAN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Ole Brook Kids, P.c. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1649051046, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 64 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
BROOKHAVEN, MS 39601
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649051046, enumerated as an "organization" on October 11, 2023.
The provider is located at 508 BROOKWAY BLVD BROOKHAVEN, MS 39601 and the phone number is (601) 835-1062.
Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.
The provider might be accepting Accepts: Molina Healthcare. Please consult your insurance carrier or call the provider to verify.
