NANAKO BROUGHTON MD LLC (NPI# 1023234598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023234598 |
| Entity Type | Organization |
| Organization Name | NANAKO BROUGHTON MD LLC |
| Practice Address |
1145 19th St Nw 510 Washington DC 20036-3701 |
| Practice Telephone | 2022967722 |
| Practice Fax Number | 2024290967 |
| Mailing Telephone | 2022967722 |
| Mailing Fax Number | 2024290967 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. NANAKO BROUGHTON (OWNER) |
| Authorized Official Telephone | 2022967722 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
MD33594 | DC | Ambulatory Health Care Facilities |
| Street Address |
1145 19TH ST NW 510 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20036-3701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346243417 | Darcy Jean Hansen | Internal Medicine | 1145 19th St Nw, Ste 210, Washington, DC 20036-3736 | 2005-05-23 |
| 1336798438 | Julia Mackler | Nurse Practitioner | 1145 19th St Nw, Washington, DC 20036-3701 | 2019-09-10 |
| 1174177893 | Stephanie Jane Johnson | Physical Therapist | 1145 19th St Nw, Washington, DC 20036-3701 | 2019-07-31 |
| 1114459880 | Drs Gialanella and Schobel Pllc | Dentist | 1145 19th St Nw, Suite 320, Washington, DC 20036-3701 | 2017-03-31 |
| 1306384169 | Kathryn A. Blanchette | Nurse Practitioner | 1145 19th St Nw, Suite 410, Washington, DC 20036-3701 | 2017-02-01 |
| 1497291934 | Nkutukirunda,dds,pllc | Dentist | 1145 19th St Nw, Suite 714, Washington, DC 20036-3701 | 2017-01-08 |
| 1801332457 | Melba Jamero | Nurse Practitioner | 1145 19th St Nw, Washington, DC 20036-3701 | 2017-01-06 |
| 1720522105 | Christina Holl | Student in an Organized Health Care Education/Training Program | 1145 19th St Nw, Suite 403, Washington, DC 20036-3701 | 2016-12-05 |
| 1134671548 | Melanie Myers | Nurse Practitioner | 1145 19th St Nw, Suite 410, Washington, DC 20036-3701 | 2016-11-02 |
| 1346795358 | Caitlin Olohan Schlageter | Nurse Practitioner | 1145 19th St Nw, Ste 210, Washington, DC 20036-3701 | 2016-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487266995 | Martha Johnson | Social Worker | 1555 Connective Ave Nw, #500w, Washington, DC 20036 | 2020-08-18 |
| 1629691092 | City Dental Dc- 2055 L, Pllc | Dentist | 2075 L Street, Nw, Washington, DC 20036 | 2020-05-20 |
| 1790305506 | Healing Roots Counseling, LLC | Counselor | 1555 Connecticut Ave, Nw Suite 401, Washington, DC 20036 | 2020-04-22 |
| 1396391124 | New Touch Digital Inc. | Durable Medical Equipment & Medical Supplies | 2055 L Street W, Suite 400, Washington, DC 20036 | 2019-08-16 |
| 1770054371 | Olivia Renee Searle | Physical Therapist | 1145 19th Street Nw Suite 413, Washington, DC 20036 | 2018-12-09 |
| 1366920050 | Savonna Clecia Robinson | Home Health Aide | Capital Home Health Care, 1820 Jefferson Street, Washington, DC 20036 | 2018-08-03 |
| 1619480829 | Meredith Harris | Physical Therapist | 1120 20th St Nw Ste 116, Washington, DC 20036 | 2017-11-09 |
| 1225540503 | Tsigereda Getachew Nigussie | Registered Nurse | 1707 L St Nw Suit 900, Washington, DC 20036 | 2017-10-26 |
| 1033629928 | Bolanle Christie Koyejo | Home Health Aide | 1820 Jefferson Place Nw, Washington, DC 20036 | 2017-10-05 |
| 1679082648 | Fethia Bekeri | Home Health Aide | 1820 Jefferson Pl, Nw, Washington, DC 20036 | 2017-09-21 |
| Find all providers in zip 20036 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275182560 | Dervan Healthcare Services LLC | Clinic/Center | 3849 Pennsylvania Ave Se, Washington, DC 20020-1309 | 2019-09-09 |
| 1952869984 | Collin D. Cullen, M.d., LLC | Clinic/Center | 5410 Connecticut Ave Nw Ste 117, Washington, DC 20015-2831 | 2019-03-08 |
| 1356889406 | Godswill O Okoji Md Inc. | Clinic/Center | 1809 Benning Rd Ne, Washington, DC 20002-7211 | 2017-02-09 |
| 1568845832 | Sole Proprietor | Clinic/Center | 510 Locust Ave, Washington, PA 15301-3331 | 2015-07-06 |
| 1457738122 | Medical Ambassador Healthcare, LLC | Clinic/Center | 1220 L St Nw, Suite 100-275, Washington, DC 20005-4018 | 2015-05-01 |
| 1417350828 | Premium Select | Clinic/Center | 4303 F St Se, Washington, DC 20019-4253 | 2014-09-30 |
| 1316349202 | Heritage Visiting Practitioners, LLC | Clinic/Center | 150 N 1100 E Unit 49, Washington, UT 84780-2882 | 2014-09-22 |
| 1043621535 | Jacqueline Mclaughlin-edwards | Clinic/Center | 4061 Minnesota Ave Ne, Washington, DC 20019-3541 | 2014-05-19 |
| 1689907024 | Helen Lindsay Thompson | Clinic/Center | 3125 Cleveland Ave Nw, Washington, DC 20008-3534 | 2009-09-17 |
| 1831319276 | Julia Liss | Clinic/Center | 3105 14th Street Nw, Washington, DC 20010 | 2007-04-26 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20036 |
Please comment or provide details below to improve the information on NANAKO BROUGHTON MD LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.