DESTINY BROADEN (NPI# 1245743509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245743509 |
| Entity Type | Individual |
| Full Name | DESTINY BROADEN |
| Credential | AUD |
| Practice Address |
3201 S Maryland Pkwy Las Vegas NV 89109-2441 |
| Mailing Address |
4149 Macadamia Dr Las Vegas NV 89115-4123 |
| Practice Telephone | 7027324491 |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2017-11-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | A2181 | NV | Speech, Language and Hearing Service Providers |
| Street Address |
3201 S MARYLAND PKWY |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89109-2441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275538126 | Nicole R. Flora | Family Medicine | 3201 S Maryland Pkwy, Suite 400, Las Vegas, NV 89109-2441 | 2005-06-16 |
| 1528607512 | Good Samaritan LLC | Clinic/Center | 3201 S Maryland Pkwy, Tower 1 Suite 314, Las Vegas, NV 89109-2425 | 2019-12-23 |
| 1922556539 | Paul Taggart Manabat | Pharmacist | 3201 S Maryland Pkwy, #218, Las Vegas, NV 89109-2441 | 2016-09-13 |
| 1891242350 | Nocturna Sleep Center, LLC | Clinic/Center | 3201 S Maryland Pkwy, Suite 320, Las Vegas, NV 89109-2441 | 2016-09-01 |
| 1124409289 | Elzabeth Ann Lang | Nurse Practitioner | 3201 S Maryland Pkwy, Suite 608, Las Vegas, NV 89109-2441 | 2015-06-15 |
| 1043645930 | Aids Healthcare Foundation | Clinic/Center | 3201 S Maryland Pkwy, Suite 218, Las Vegas, NV 89109-2441 | 2013-09-10 |
| 1104113471 | Caroline Nguyen | Pediatrics | 3201 S Maryland Pkwy, Ste 608, Las Vegas, NV 89109-2441 | 2011-07-06 |
| 1134425820 | Cynthia Chase | Pediatrics | 3201 S Maryland Pkwy, Suite 608, Las Vegas, NV 89109-2441 | 2011-01-28 |
| 1972839231 | Ivan D Karabachev Md Chartered | Otolaryngology | 3201 S Maryland Pkwy, #500, Las Vegas, NV 89109-2441 | 2009-10-21 |
| 1538492012 | Carlos W. Araujo, Md, PC | Internal Medicine | 3201 S Maryland Pkwy, Suite 414, Las Vegas, NV 89109-2441 | 2009-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942820816 | Vivian Latoza Villasfer | Technician | 2770 South Maryland Parkway, Suite 205b, Las Vegas, NV 89109 | 2020-04-21 |
| 1235758236 | Happy Life Home Health Services Inc | Chore Provider | 2770 S Maryland Pkwy Suite 205-b, Las Vegas, NV 89109 | 2020-04-10 |
| 1346890662 | Jaylin Armour | Technician | 2770 S Maryland Pkwy Suite 108b Las Vegas, Nv 89109, Las Vegas, NV 89109 | 2019-09-18 |
| 1104475003 | Jasmine Thomas | Technician | 2770 S Maryland Pkwy Suite 108 B-g Las Vegas, Nv 89109, Las Vegas, NV 89109 | 2019-09-04 |
| 1982258331 | Melanee Gregory | Technician | 2770 S Maryland Okey Suite 108b, Suite 108b, Las Vegas, NV 89109 | 2019-07-24 |
| 1851877583 | Eric Darnell Thompson Jr. | Community/Behavioral Health | 2556 Shrewood Street, Unit 21, Las Vegas, NV 89109 | 2018-07-16 |
| 1144717117 | Emerging Vision Inc | Technician/Technologist | Mirage Hotel, 3400 Las Vegas Blvd S, Mirage Hotel, Las Vegas, NV 89109 | 2018-04-16 |
| 1013404110 | Emerging Vision Inc | Technician/Technologist | Mandalay Bay Resort (lobby), 3950 Las Vegas Blvd S, Mandalay Bay Resort (lobby), Las Vegas, NV 89109 | 2018-04-16 |
| 1750881736 | Amirelys Hernandez Diaz | Technician | 2770 S. Maryland Pkwy, Ste 108b-g, Las Vegas, NV 89109 | 2018-02-16 |
| 1972036663 | Ashley Murray | Registered Nurse | 2700 S Las Vegas Blvd #1506, Las Vegas, NV 89109 | 2017-04-10 |
| Find all providers in zip 89109 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851897557 | Meghan Leigh Wyskiel | Audiologist | 9080 W Cheyenne Ave # 110, Las Vegas, NV 89129-8936 | 2018-04-02 |
| 1528444213 | Nicole Kristine Franco | Audiologist | 5920 S Rainbow Blvd Ste 9, Las Vegas, NV 89118-4209 | 2015-08-04 |
| 1811378565 | Candace Coleman | Audiologist | 501 S Rancho Dr Ste A6, Las Vegas, NV 89106-4870 | 2015-06-17 |
| 1972944106 | Amanda Blake | Audiologist | 3120s Rainbow Blvd 202, Las Vegas, NV 89146-6235 | 2013-07-16 |
| 1023457728 | Michelle Hungerford | Audiologist | 9080 W Cheyenne Ave, Suite 150, Las Vegas, NV 89129-8936 | 2013-06-17 |
| 1336585488 | Mai Ly Thi Holly Nguyen | Audiologist | 6787 W Tropicana Ave Ste 250, Las Vegas, NV 89103 | 2013-05-16 |
| 1588922314 | Southern Nevada Audiology | Audiologist | 6061 S. Fort Apache #130, Las Vegas, NV 89148-5578 | 2012-04-30 |
| 1952556532 | Jacquelyn Walters | Audiologist | 501 S Rancho Dr Ste A8, Las Vegas, NV 89106 | 2008-11-24 |
| 1699962530 | Sonnet J Klipp | Audiologist | 6475 N Decatur Blvd, Suite 125, Las Vegas, NV 89131-2985 | 2007-09-25 |
| 1285824342 | Carrie Lynn Page | Audiologist | 6061 S. Fort Apache, Ste. 130, Las Vegas, NV 89148 | 2007-07-25 |
| Find all providers in LAS VEGAS | ||||
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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.