AUDREY BROOKE GARZA
NPI 1689426801
Student in an Organized Health Care Education/Training Program in Wright Patterson Afb, OH

Active since April 02, 2024PECOS Enrolled
4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 45433(937) 522-2778 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 13, 2025, Nov 18, 2024, Jul 29, 2024 and 1 more (4 updates tracked since 2024).

About Audrey Brooke Garza NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AUDREY BROOKE GARZA (NPI 1689426801) is an individual student in an organized health care education/training program in Wright Patterson Afb, Ohio and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1689426801
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameAUDREY BROOKE GARZA
Location Address4881 SUGAR MAPLE DRWright Patterson Afb, OH 45433-5529
Mailing Address4881 Sugar Maple DrWpafb, OH 45433-5529 · (937) 522-2778
Sole ProprietorNo
Enumeration DateApril 2, 2024
Last NPPES UpdateSeptember 29, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2025
NPI 1689426801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedGeneral PracticeTaxonomy 208D00000X · License DR.0076382 (CO)
4881 SUGAR MAPLE DR, Wright Patterson Afb, OH 45433

Secondary Practice Locations 2

Location 11 Wyoming StDayton, OH 45409-2711 · Phone (937) 208-8000
Location 24100 W 3rd StDayton, OH 45428-9000 · Phone (937) 268-6511

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Audrey Brooke Garza is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
4881 SUGAR MAPLE DR
FAIRBORN, OH 45433
Pharmacist
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
Internal Medicine
4881 SUGAR MAPLE DR
WPAFB, OH 45433
Military Health Care Provider (Independent Duty Medical Technicians)
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
Radiology (Nuclear Radiology)
4881 SUGAR MAPLE DR, 88 DTS/SGQX
WRIGHT PATTERSON AFB, OH 45433
Dietitian, Registered
4881 SUGAR MAPLE DR
WPAFB, OH 45433
Military Health Care Provider (Independent Duty Medical Technicians)
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
Radiologic Technologist (Radiation Therapy)
4881 SUGAR MAPLE DR, 88TH MDOS/SGOMR
WRIGHT PATTERSON AFB, OH 45433

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Audrey Garza's NPI number?

The NPI number for Audrey Garza is 1689426801. It was assigned to this individual provider in the NPPES registry on April 2, 2024.

Where is Audrey Garza located?

Audrey Garza practices at 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433. The listed phone number is (937) 522-2778.

What is Audrey Garza's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Audrey Garza enrolled in Medicare?

Yes. Audrey Garza is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Audrey Garza was last updated on September 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.