BROOKE KENNARD APN
NPI 1902348493
Nurse Practitioner - Family in Bloomington, IL

Active since November 15, 2016
326 FAIRWAY DR, BLOOMINGTON, IL 61701(309) 451-9595(309) 451-9583 Get Directions Write a Review

NPPES record last updated: November 28, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Feb 15, 2019, Nov 15, 2016 (2 updates tracked since 2016).

About Brooke Kennard Apn NPPES

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

BROOKE KENNARD APN (NPI 1902348493) is an individual family provider in Bloomington, Illinois, licensed in Illinois (209-014496) and active in the NPI registry since November 2016. She maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1902348493
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBROOKE KENNARDCredential: APN
Location Address326 FAIRWAY DRBloomington, IL 61701-3462
Mailing Address1505 Broad Creek RdBloomington, IL 61704-8525 · (309) 532-1748
Fax(309) 451-9583
Sole ProprietorNo
Enumeration DateNovember 15, 2016
Last NPPES UpdateNovember 28, 20232 updates tracked since enumeration
NPPES CertifiedNovember 28, 2023
NPI 1902348493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in IL · 209-014496 Licensed in IN · 71008773A
326 FAIRWAY DR, Bloomington, IL 61701

Secondary Practice Location 1

Location 1151 N Delaware StIndianapolis, IN 46204-2599 · Phone (317) 257-9151 · Fax (317) 247-9159

Other Providers at the Same Location NPPES 2

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

Obstetrics & Gynecology
326 FAIRWAY DR
BLOOMINGTON, IL 61701
Obstetrics & Gynecology
326 FAIRWAY DR
BLOOMINGTON, IL 61701

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 Brooke Kennard's NPI number?

The NPI number for Brooke Kennard is 1902348493. It was assigned to this individual provider in the NPPES registry on November 15, 2016.

Where is Brooke Kennard located?

Brooke Kennard practices at 326 Fairway Dr, Bloomington, IL 61701. The listed phone number is (309) 451-9595.

What is Brooke Kennard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Brooke Kennard was last updated on November 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.