CORI CLARK BROADHEAD


Address: 516 Quintard Ave, Anniston, AL 36201-5711
Phone: 2567419799

CORI CLARK BROADHEAD (NPI# 1033750401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033750401
Entity Type Individual
Full Name CORI CLARK BROADHEAD
Practice Address 516 Quintard Ave
Anniston
AL 36201-5711
Mailing Address 216 Elder St
Irondale
AL 35210-2504
Practice Telephone 2567419799
Practice Fax Number 2567419795
Enumeration Date 2019-10-07
Last Update Date 2019-10-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
201914904 AL Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
500 Cahaba Park Cir, Birmingham, AL 352425087 2058482273

Office Location

Street Address 516 QUINTARD AVE
City ANNISTON
State AL
Zip Code 36201-5711

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982665519 Gary M Ray Pediatrics 516 Quintard Ave, Anniston, AL 36201-5711 2006-03-31
1003387309 Amanda Marie Pearson Nurse Practitioner 516 Quintard Ave, Anniston, AL 36201-5711 2018-12-12
1558723106 Amanda Hall Nurse Practitioner 516 Quintard Ave, Anniston, AL 36201-5711 2016-03-23
1487031530 Kristin Michelle Gsell Registered Nurse 516 Quintard Ave, Anniston, AL 36201-5711 2015-04-28
1659774693 Elizabeth Taylor Tucker Nurse Practitioner 516 Quintard Ave, Anniston, AL 36201-5711 2014-10-06
1568800555 Rebecca Allison Thompson Pediatrics 516 Quintard Ave, Anniston, AL 36201-5711 2013-06-12
1821248451 Maria Marchenko Pediatrics 516 Quintard Ave, Anniston, AL 36201-5711 2008-09-18
1790971166 Purohit Pediatric Clinic, LLC Clinic/Center 516 Quintard Ave, Anniston, AL 36201-5754 2007-09-19
1396759452 Naresh Purohit Pediatrics 516 Quintard Ave, Anniston, AL 36201-5754 2006-07-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528587367 Populations and Interventions Team Company Psychologist 2518 Ammons St, Anniston, AL 36201 2017-09-13
1598209330 Olivia Ann Couch Nurse Practitioner 801 Noble Street, Suite 400, Anniston, AL 36201 2016-12-13
1700332657 Grace Therapeutic & Counseling Services Inc Psychologist 7 East 13th St Suite 225, Anniston, AL 36201 2016-08-31
1902287295 Christy Darline Myrick Nurse Practitioner 7 Frankford Avenue, Bldg 52, Anniston, AL 36201 2015-06-12
1922364470 Timothy Jay Rolfe Social Worker 7 Frankford Ave (bldg 221), Anniston Army Depot, Anniston, AL 36201 2012-04-10
1568794840 Alan D. Lindell Counselor 1400 Noble St., Anniston, AL 36201 2010-02-11
1679726327 Angela Lareese Fears-curry Radiology Practitioner Assistant 21 B E 11th Street, Anniston, AL 36201 2008-10-28
1265512453 Bonita Stopa Harris Chiropractor 100 E 16th, Anniston, AL 36201 2006-10-16
1902999071 John T Nelson Dentist 909 South Quintard Avenue, Anniston, AL 36201 2006-10-02
1598705071 Jeffery K Sewell Emergency Medicine 1325 Quintard Ave, Anniston, AL 36201 2006-06-06
Find all providers in zip 36201

Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962696005 Amy M Matson Nurse Practitioner 516b Quintard Ave, Anniston, AL 36201-5754 2007-08-31
1285146100 Katie Covington Smith Nurse Practitioner 3312 Henry Rd, Anniston, AL 36207-6344 2017-11-01
1366894404 Amy Wadsworth Nurse Practitioner 1001 Leighton Ave, Anniston, AL 36207-5701 2016-07-12
1558723106 Amanda Hall Nurse Practitioner 516 Quintard Ave, Anniston, AL 36201-5711 2016-03-23
1659774693 Elizabeth Taylor Tucker Nurse Practitioner 516 Quintard Ave, Anniston, AL 36201-5711 2014-10-06
1043446800 Holly Flanagan Mays Nurse Practitioner 3312 Henry Rd, Anniston, AL 36207-6344 2009-06-08
1922018209 Charles E Thomas Nurse Practitioner 3312 Henry Rd, Anniston, AL 36207-6344 2006-08-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1225636038 Samantha Thompson Nurse Practitioner 1600 7th Ave S Fl 2, Birmingham, AL 35233-1711 2020-10-14
1831722289 Tiffany Garrett Nurse Practitioner 333 Whitesport Dr Sw Ste 104, Huntsville, AL 35801-3455 2020-02-13
1033776612 Erin Tracy Swing Nurse Practitioner 1600 7th Ave S Fl Apass2, Birmingham, AL 35233-1711 2019-05-20
1629531181 Holley Lewis Collins Nurse Practitioner 1601 Center St Ste 1a, Mobile, AL 36604-1541 2019-04-11
1023591245 Katherine Leigh Cassidy Nurse Practitioner 2001 Fieldstown Rd, Gardendale, AL 35071-4628 2018-09-13
1588145544 Allison Mcdill Williams Nurse Practitioner 1101 Stephen J White Memorial Boulevard, Talladega, AL 35160 2018-08-27
1740769801 Amy Leigh Jenkins Nurse Practitioner 1600 7th Ave S Bldg Suit5604, Birmingham, AL 35233-1711 2018-08-09
1467931949 Kelly M Bonnett Nurse Practitioner 117 N Chalkville Rd, Trussville, AL 35173 2018-08-07
1184102931 Molly Dixon Bolton Nurse Practitioner 1600 7th Ave S Bldg Suite620, Birmingham, AL 35233-1711 2018-08-03
1760968580 Gladys Cooks Nurse Practitioner 8517 Highlands Trce, Trussville, AL 35173-3815 2018-07-15
Find all providers with the same taxonomy

Competitor

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City ANNISTON
Zip Code 36201

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Dataset Information

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.

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