KAYWANA LEE BROOMER (NPI# 1053843722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053843722 |
| Entity Type | Individual |
| Full Name | KAYWANA LEE BROOMER |
| Practice Address |
1007 E Newport Pike Wilmington DE 19804-1921 |
| Practice Telephone | 3022503101 |
| Mailing Telephone | 3022503101 |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2017-03-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
PC009250 | PA | Behavioral Health & Social Service Providers |
| Street Address |
1007 E NEWPORT PIKE |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19804-1921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932696283 | Interlink Counseling Services, LLC | Clinic/Center | 102 Larch Ave Ste 101f, Newport, DE 19804 | 2018-04-21 |
| 1174045066 | Emma Yunyi Yang | Dentist | 6 Larch Ave Ste 402, Wilmington, DE 19804 | 2017-07-12 |
| 1518312941 | Mark Fisher | Registered Nurse | 13 Main Ave, Wilmington, DE 19804 | 2016-05-04 |
| 1568857019 | Chrystal Graham | Registered Nurse | 1418 Newport Rd, Wilmington, DE 19804 | 2015-04-01 |
| 1871993717 | Emily Elizabeth Brokaw | Speech-Language Pathologist | 99 Middleboro Rd, Wilmington, DE 19804 | 2014-08-28 |
| 1992835201 | H. Donald Jones | Dentist | 1 Winston & Maryland Ave., Wilmington, DE 19804 | 2007-03-06 |
| 1538211172 | Family Dental Center | Dentist | 1 Winston & Maryland Ave, Wilmington, DE 19804 | 2007-01-16 |
| 1205236148 | Jeannie Irvine Henriques | Speech-Language Pathologist | 99 Middleboro Rd, Wilmington, DE 19804 | 2014-08-28 |
| 1497896682 | Avalon Dental LLC | Dentist | 301 S Old Dupont Rd, Ste A, Wilmington, DE 19804-0000 | 2007-02-09 |
| 1982640041 | Manjul Asthana | Psychologist | C/o Harmonious Mind, 240 N. James St, Ste 111, Newport, DE 19804-0000 | 2006-06-20 |
| Find all providers in zip 19804 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656172 | Jennifer Hickman Grimm | Counselor | 1014 Steeplechase Rd, Wilmington, NC 28412-7206 | 2020-10-14 |
| 1821696717 | Tessa Jane Bolz | Counselor | 2426 Monroe St, Wilmington, NC 28401-7026 | 2020-10-13 |
| 1588278600 | Kimberly Jackson | Counselor | 2703 N Harrison St, Wilmington, DE 19802-2924 | 2020-09-04 |
| 1134746399 | Heather Nicole Freeman | Counselor | 771 Bonaire Rd, Wilmington, NC 28412-3282 | 2020-07-02 |
| 1497393441 | Julie Elaine Campana | Counselor | 501 Silverside Rd Ste 50, Wilmington, DE 19809-1388 | 2019-12-19 |
| 1205473360 | Keonna M Freeman | Counselor | 5700 Kirkwood Hwy Ste 204, Wilmington, DE 19808-4884 | 2019-12-06 |
| 1699311381 | Rebecca L Dries | Counselor | 1201 W 7th St Apt 3, Wilmington, DE 19805-3258 | 2019-11-18 |
| 1811532286 | Carolyn Elizabeth Lehman | Counselor | 815 N Harrison St, Wilmington, DE 19806-4628 | 2019-11-09 |
| 1639713183 | Richard Luke Loveless Jr. | Counselor | 3719 Washington Ave, Wilmington, DE 19808-6034 | 2019-10-28 |
| 1396388153 | Jennifer Cook | Counselor | 5710 Oleander Dr Ste 112, Wilmington, NC 28403-4722 | 2019-10-24 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 19804 |
Please comment or provide details below to improve the information on KAYWANA LEE BROOMER.
| 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.