AMANDA BROADWAY (NPI# 1285828715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285828715 |
| Entity Type | Individual |
| Full Name | AMANDA BROADWAY |
| Credential | RNFA |
| Practice Address |
1007 Jefferson St Laurel MS 39440-4350 |
| Mailing Address |
Po Box 247 Laurel MS 39441-0247 |
| Practice Telephone | 6016497802 |
| Practice Fax Number | 6014287841 |
| Mailing Telephone | 6013996167 |
| Mailing Fax Number | 6013996281 |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2014-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WR0006X |
Registered Nurse Specialization: Registered Nurse First Assistant |
R866035 | MS | Nursing Service Providers |
| Street Address |
1007 JEFFERSON ST |
| City | LAUREL |
| State | MS |
| Zip Code | 39440-4350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194895854 | Lowry Neurosurgical Clinic, P.a. | Neurological Surgery | 1007 Jefferson St, Laurel, MS 39440-4350 | 2006-11-09 |
| 1821336603 | South Central Regional Medical Center | Surgery | 1007 Jefferson St, Laurel, MS 39440-4350 | 2013-01-29 |
| 1225163769 | Robert C Rivers | Nurse Practitioner | 1007 Jefferson St, Laurel, MS 39440-4350 | 2007-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306323159 | Tender Loving Care Homecare LLC | Homemaker | 509 Central Ave Ste 224, Laurel, MS 39440 | 2018-07-24 |
| 1669837910 | Laurel Dental Properties | Dentist | 1925 Pine Belt Drive, Laurel, MS 39440 | 2015-12-30 |
| 1215282991 | South Central Regional Medical Center | Clinic/Center | 525 Wayne Drive, Laurel, MS 39440 | 2012-07-18 |
| 1568721215 | Terry Ratcliff Perkins | Counselor | 5192 Hwy 11 North, Laurel, MS 39440 | 2012-05-15 |
| 1437453057 | Alexander Milne Home for Women | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 616 East 19th Street, Laurel, MS 39440 | 2010-12-23 |
| 1710135629 | Jeffrey R. Moffett | Nurse Practitioner | 3115 Audubon Dr, Laurel, MS 39440 | 2008-09-04 |
| 1003096785 | Family Health Center, Inc | Obstetrics & Gynecology | 103 S. 12th Avenue, Laurel, MS 39440 | 2007-11-09 |
| 1669672143 | Laurel Urology Clinic Pa | Urology | 304 S 10th Ave, Laurel, MS 39440 | 2007-07-23 |
| 1093912370 | Tanweer Hussain Majid | Surgery | 1007 Jefferson Street, Laurel, MS 39440 | 2007-06-29 |
| 1780889923 | Hattiesburg Eye Clinic, Pa | Ophthalmology | 1431 North 10th St, Suite 1, Laurel, MS 39440 | 2007-06-18 |
| Find all providers in zip 39440 | ||||
| Taxonomy Code | 163WR0006X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Registered Nurse First Assistant |
| A perioperative registered nurse who works in collaboration with the surgeon and other health care team members to achieve optimal outcomes. The RNFA has acquired the necessary knowledge, judgment, and skills specific to the expanded role of RNFA clinical practice. Intraoperatively, the RNFA assists the surgeon. |
| Notes: Source: AORN Official Statement on RNFAs ratified by the AORN House of Delegates in 2004. [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093180531 | Kimberly Kennedy | Registered Nurse | 1410 Jefferson St, Laurel, MS 39440-4243 | 2015-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942693684 | Meggan Reisch | Registered Nurse | 2600 Parkwood Pl, Ocean Springs, MS 39564-4213 | 2015-03-05 |
| 1053701995 | Leigh Houston | Registered Nurse | 3104 Stonehenge Dr, Hernando, MS 38632 | 2015-01-30 |
| 1457764227 | Joseph Matthew Barnett | Registered Nurse | 7542a Luther Rd, Summit, MS 39666-5511 | 2014-06-09 |
| 1801178611 | Dovie Christine Pryor | Registered Nurse | 6105 Autumn Oaks Dr, Olive Branch, MS 38654-6611 | 2011-09-16 |
| 1801405923 | Melinda Bozeman | Registered Nurse | 2124 14th St, Meridian, MS 39301-4040 | 2020-07-24 |
| 1073153433 | Justin Douglas | Registered Nurse | 427 Highway 51 N, Brookhaven, MS 39601-2350 | 2020-01-13 |
| 1952941312 | Thomas Mcmahon | Registered Nurse | 427 Highway 51 N, Brookhaven, MS 39601-2350 | 2020-01-13 |
| 1962045765 | Melissa Dedeaux | Registered Nurse | 2124 14th St, Meridian, MS 39301-4040 | 2019-10-24 |
| 1124511563 | Houston Surgical Resources LLC | Registered Nurse | 3104 Stonehenge Dr, Hernando, MS 38632 | 2018-06-11 |
| 1003329954 | Jessica Graham | Registered Nurse | 2124 14th St, Meridian, MS 39301-4040 | 2017-11-14 |
| Find all providers with the same taxonomy | ||||
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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.