DESEREE BRODDIE (NPI# 1033385406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033385406 |
| Entity Type | Organization |
| Organization Name | DESEREE BRODDIE |
| Practice Address |
128 Stubbs Ln Bainbridge GA 39817-1937 |
| Practice Telephone | 2297268253 |
| Mailing Telephone | 2297268253 |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2008-05-05 |
| Authorized Official Name | MRS. DESEREE MARIE BRODDIE (LPN) |
| Authorized Official Telephone | 2297268253 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251J00000X | Nursing Care | LPN059350 | GA | Agencies |
| Street Address |
128 STUBBS LN |
| City | BAINBRIDGE |
| State | GA |
| Zip Code | 39817-1937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457774457 | Lori Phillips Temples | Speech-Language Pathologist | 100 S. West St., Bainbridge, GA 39817 | 2014-01-27 |
| 1629491626 | Diane W. Welch | Speech-Language Pathologist | 100 S. West Street, Bainbridge, GA 39817 | 2014-01-27 |
| 1104074699 | Charles Tanner Stafford | Obstetrics & Gynecology | 119 N. Donalson St., Suite B, Bainbridge, GA 39817 | 2008-09-09 |
| 1396966685 | Peggy Brennan Fordham | Pharmacist | 1500 Shutwell Street, Bainbridge Memorial Hospital, Bainbridge, GA 39817 | 2007-05-02 |
| 1518022425 | Tanya Williams Clark | Speech-Language Pathologist | 100 South West St., Bainbridge, GA 39817 | 2006-12-22 |
| 1558321125 | Sylena Mosely Wiggins | Speech-Language Pathologist | 100 South West Street, Bainbridge, GA 39817 | 2006-03-27 |
| 1194785469 | Winde Barber Farrington | Speech-Language Pathologist | 100 S. West St, Bainbridge, GA 39817 | 2006-03-23 |
| 1962825968 | Anna Reynolds Payne | Speech-Language Pathologist | 100 S. West Street, Bainbridge, GA 39817 | 2014-01-27 |
| 1093085524 | Dena Cutts Donalson | Pharmacist | 215 River Oaks Dr, Bainbridge, GA 39817-1030 | 2011-12-30 |
| 1386117448 | Bernadine D Collier | Registered Nurse | 107 Lance Ct, Bainbridge, GA 39817-1724 | 2019-01-10 |
| Find all providers in zip 39817 | ||||
| Taxonomy Code | 251J00000X |
| Grouping | Agencies |
| Classification | Nursing Care |
| A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093086365 | Bainbridge-guilford Central School | Nursing Care | 43 Greenlawn Ave, Bainbridge, NY 13733-1139 | 2012-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942800115 | Recarlo King | Nursing Care | 1863 Clay Rd Sw, Mableton, GA 30126-1100 | 2020-10-27 |
| 1205435575 | Angelic Touch Cares, LLC | Nursing Care | 1705 Bertram Ln Sw, Marietta, GA 30008-4141 | 2020-10-19 |
| 1730787136 | Lucienne Home Care LLC | Nursing Care | 2407 Hi Roc Rd Ne, Conyers, GA 30012-2541 | 2020-10-16 |
| 1609482793 | Express Yourself, LLC | Nursing Care | 5141 Wellsley Bnd, Alpharetta, GA 30005-5067 | 2020-09-23 |
| 1952917106 | Chosen Healthcare Services, LLC | Nursing Care | 818 Panola Rd, Ellenwood, GA 30294-3034 | 2020-09-22 |
| 1578179313 | Standard Homecare of Augusta,llc | Nursing Care | 4583 Coldwater St, Grovetown, GA 30813-4065 | 2020-09-17 |
| 1033724638 | Jennifer Melton | Nursing Care | 1888 Hollywood Rd Nw Unit 7401, Atlanta, GA 30318-3206 | 2020-09-10 |
| 1710591425 | Sharon Mckenzie | Nursing Care | 2203 Cumberland Pkwy Se Unit 401, Atlanta, GA 30339-4513 | 2020-09-01 |
| 1831703636 | Uniqueangleshomecareservices | Nursing Care | 257 Maner Ter Se, Atlanta, GA 30339-1930 | 2020-08-31 |
| 1235741489 | Saegcyhealthcare | Nursing Care | 1301 Westwood Dr Apt G, Albany, GA 31721-6237 | 2020-08-19 |
| Find all providers with the same taxonomy | ||||
| City | BAINBRIDGE |
| Zip Code | 39817 |
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| 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.