Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1760274484 Individual Practitioner Female Practitioner

Brooke Wise

Licensed Practical Nurse • Kelso, WA

Professional Overview & Biography Verified Profile Summary

Brooke Wise is a registered healthcare professional specializing in Licensed Practical Nurse in Kelso, WA. Practice services are available at 305 PACIFIC AVE S STE C under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

305 Pacific Ave S Ste C

Kelso, WA 986261638

Telephone 3603567759
Associated Practice Facility / Clinic
🏢 Wchs Inc Facility NPI 1457860959

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Kelso, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
22 Specialists

Practicing in Kelso, WA (1730 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-05-19
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License WA LP60512558

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Georgina Hamm , RN

Registered Nurse

NPI 1043108616

Registered Nurse

Mariah Herrera , SUDPT

Counselor - Addiction (Substance Use Disorder)

NPI 1407799869
Alysia Cayo , SUDPT

Counselor - Addiction (Substance Use Disorder)

NPI 1609719178
Hannah Njoroge

Licensed Practical Nurse

NPI 1740121250

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 19, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location May 19, 2025

Registered at 305 PACIFIC AVE S STE C, KELSO, WA 986261638 (Tel: 3603567759)

📍
Updated Business Mailing Address May 19, 2025

Registered at 305 PACIFIC AVE S STE C, KELSO, WA 986261638

👤
Provider Name / Credentials Updated May 19, 2025

Recorded as BROOKE WISE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 19, 2025

Licensed Practical Nurse (License #LP60512558 in WA)

🟢
Initial NPI Registration & Enumeration May 19, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1760274484
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 19, 2025
Last Update: May 19, 2025
Sole Proprietor: No

Mailing Address

305 Pacific Ave S Ste C

Kelso, WA 986261638

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.