ANGELA MAE BROUGHTON (NPI# 1154896801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154896801 |
| Entity Type | Individual |
| Full Name | ANGELA MAE BROUGHTON |
| Practice Address |
1900 Grassland Dr Mitchell SD 57301-6205 |
| Practice Telephone | 6059957000 |
| Mailing Telephone | 6059957000 |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2018-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
CP001468 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1900 GRASSLAND DR |
| City | MITCHELL |
| State | SD |
| Zip Code | 57301-6205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306943576 | Xenofon Papadopoulos | Urology | 1900 Grassland Dr, Mitchell, SD 57301-6335 | 2006-09-20 |
| 1952911877 | Nancy Jo Miller | Dietitian, Registered | 1900 Grassland Dr, Mitchell, SD 57301-6335 | 2020-08-05 |
| 1669027678 | Rural Health Care, Inc | Family Medicine | 1900 Grassland Dr, Mitchell, SD 57301-6205 | 2019-08-06 |
| 1033762984 | Theresa Miiller | Nurse Practitioner | 1900 Grassland Dr, Mitchell, SD 57301-6205 | 2019-07-19 |
| 1649831637 | Maggie Riggs | Nurse Practitioner | 1900 Grassland Dr, Mitchell, SD 57301-6205 | 2019-06-21 |
| 1417495649 | Laura Axsom | Nurse Practitioner | 1900 Grassland Dr, Mitchell, SD 57301-6205 | 2017-02-08 |
| 1881049484 | Avera Queen of Peace | Dermatology | 1900 Grassland Dr, Mitchell, SD 57301-6205 | 2016-05-02 |
| 1710359252 | Avera Queen of Peace | Pharmacy | 1900 Grassland Dr, Ste 101, Mitchell, SD 57301 | 2015-10-23 |
| 1780055780 | Lacey Bonte | Nurse Practitioner | 1900 Grassland Dr, Mitchell, SD 57301-6205 | 2015-10-15 |
| 1972981330 | Thad Kandel | Surgery | 1900 Grassland Dr, Mitchell, SD 57301-6335 | 2015-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932721388 | Dakota Counseling Institute | Social Worker | 910 W Havens, Mitchell, SD 57301 | 2020-05-08 |
| 1215588512 | Carolyn Marie Klinkhammer | Registered Nurse | 525 North Foster - Avera Queen of Peace Hospital, Mitchell, SD 57301 | 2019-09-27 |
| 1720596893 | Brian Bannwarth | Pharmacist | 25147 Campground Road, Mitchell, SD 57301 | 2018-01-11 |
| 1336664135 | Haley Long | Speech-Language Pathologist | 200 East Havens, Mitchell, SD 57301 | 2017-08-14 |
| 1770004996 | Edgewood Mitchell LLC | Assisted Living Facility | 501 East Spruce Street, Mitchell, SD 57301 | 2017-06-28 |
| 1467831685 | Amanda Louise Johnson | Physical Therapist | 910 S Edgerton, Mitchell, SD 57301 | 2015-05-20 |
| 1922432830 | Melissa Jill Maier | Dentist | 240 E 23 Ave, Mitchell, SD 57301 | 2013-08-27 |
| 1356626972 | Lewis Family Drug, LLC | Pharmacy | 1507 N Main St, Mitchell, SD 57301 | 2011-10-14 |
| 1184945958 | Kimberly L Lienemann | Counselor | 403 N Lawler St, Mitchell, SD 57301 | 2010-06-16 |
| 1134365554 | Gronsten-maier Dental Prof. LLC | Dentist | 240 E. 23rd Avenue, Mitchell, SD 57301 | 2009-01-07 |
| Find all providers in zip 57301 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285038265 | Jessica Lea Preheim | Nurse Practitioner | 204 W Havens Ave, Mitchell, SD 57301-3906 | 2014-10-20 |
| 1407902968 | Cindy Kay Mulder | Nurse Practitioner | 909 South Miller, Mitchell Family Planning, Mitchell, SD 57301 | 2007-01-26 |
| 1609358035 | Rachel Dykstra | Nurse Practitioner | 525 N Foster St, Mitchell, SD 57301-2999 | 2018-09-01 |
| 1417495649 | Laura Axsom | Nurse Practitioner | 1900 Grassland Dr, Mitchell, SD 57301-6205 | 2017-02-08 |
| 1114386794 | Kelly Jo Mcdermott | Nurse Practitioner | 525 N Foster St, Mitchell, SD 57301-2966 | 2016-02-11 |
| 1780055780 | Lacey Bonte | Nurse Practitioner | 1900 Grassland Dr, Mitchell, SD 57301-6205 | 2015-10-15 |
| 1558614461 | Brian Dean Brazzell | Nurse Practitioner | 105 Teke Burton Dr, Mitchell, IN 47446-1208 | 2012-10-17 |
| 1083991012 | Heidi M Gehrke | Nurse Practitioner | 525 N Foster St, Mitchell, SD 57301-2966 | 2011-11-04 |
| 1811225717 | Kristi Jo Nissley | Nurse Practitioner | 2759 State Road 37, Mitchell, IN 47446 | 2009-12-03 |
| 1780865626 | Betsy M Van Genderen | Nurse Practitioner | 2100 Highland Way Ste K, Mitchell, SD 57301-6409 | 2007-11-20 |
| Find all providers in MITCHELL | ||||
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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.