WHITNEY JOHNSON BROADWELL (NPI# 1306185400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306185400 |
| Entity Type | Individual |
| Full Name | WHITNEY JOHNSON BROADWELL |
| Credential | R.N. |
| Practice Address |
15269 Indian Mound Rd Ware Shoals SC 29692-3547 |
| Practice Telephone | 8644567496 |
| Practice Fax Number | 8648614338 |
| Mailing Telephone | 8644567496 |
| Mailing Fax Number | 8648614338 |
| Enumeration Date | 2013-02-08 |
| Last Update Date | 2013-02-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
203589 | SC | Nursing Service Providers |
| Street Address |
15269 INDIAN MOUND RD |
| City | WARE SHOALS |
| State | SC |
| Zip Code | 29692-3547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912924564 | Nell Hunter Behrmann | Speech-Language Pathologist | 15269 Indian Mound Rd, Ware Shoals, SC 29692-3547 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235743295 | Kp and Rd LLC | Pharmacy | 721 N Greenwood Avenue, Ware Shoals, SC 29692 | 2020-09-06 |
| 1639541972 | Ally Child and Family Counseling, LLC | Counselor | 2924 Nation Road, Ware Shoals, SC 29692 | 2015-10-27 |
| 1942528161 | Self Medical Group | Family Medicine | 167 Greenwood Ave S, Ware Shoals, SC 29692 | 2010-05-12 |
| 1629136858 | West End Drug Inc | Pharmacist | 80 N Greenwood Ave, Ware Shoals, SC 29692 | 2006-12-04 |
| 1043229982 | Bennie S Henderson | Nurse Practitioner | 157 B S Greenwood Ave Ext, Ware Shoals, SC 29692 | 2006-08-07 |
| 1053629519 | Stacey Bass | Pharmacist | 734 N Greenwood Ave, Ware Shoals, SC 29692-1233 | 2010-09-18 |
| 1205144490 | Joseph Seth Pulley | Pharmacist | 734 N Greenwood Ave, Ware Shoals, SC 29692-1233 | 2010-09-22 |
| 1992038533 | Freds Stores of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 734 N Greenwood Ave, Ware Shoals, SC 29692-1233 | 2009-09-15 |
| 1689858367 | Harmony Residential Care Center, LLC | Assisted Living Facility | 10 N Greenwood Ave, Ware Shoals, SC 29692-1239 | 2007-12-18 |
| 1104022516 | Park Pharmacy, Inc | Durable Medical Equipment & Medical Supplies | 9 E Main St, Ware Shoals, SC 29692-1301 | 2007-06-22 |
| Find all providers in zip 29692 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528307618 | Kimberly R Mcclain | Registered Nurse | 56 S Greenwood Ave, Ware Shoals, SC 29692-1541 | 2013-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841400 | Tiffany Holcombe Price | Registered Nurse | 160 Ivory Key Rd, Saluda, SC 29138-8177 | 2020-11-05 |
| 1437759222 | Amy P Etheridge | Registered Nurse | 3650 Park Avenue Blvd, Mount Pleasant, SC 29466-7242 | 2020-10-29 |
| 1679187421 | Natalie Padgett | Registered Nurse | 1025 Sea Island Pkwy, Saint Helena Island, SC 29920-4399 | 2020-08-31 |
| 1316573678 | Amanda Kalinsky | Registered Nurse | 3100 Carner Ave, North Charleston, SC 29405-3001 | 2020-03-19 |
| 1396395588 | Elizabeth Fisher | Registered Nurse | 409 Airy Springs Rd, Easley, SC 29642-8702 | 2019-09-19 |
| 1194373639 | Opal Elaine Sobieszczyk | Registered Nurse | 42 Isle of Hope, Mt Pleasant, SC 29464-6634 | 2019-08-28 |
| 1740836139 | Kellie Elizabeth Baker | Registered Nurse | 1475 E Liberty St, York, SC 29745-6440 | 2019-08-13 |
| 1871148528 | Kelly Jo Childers | Registered Nurse | 1010 Devinney Rd, York, SC 29745-2127 | 2019-08-08 |
| 1003460668 | Laureen Mitchell | Registered Nurse | 2100 Bull St., Columbia, SC 29201-2104 | 2019-07-31 |
| 1578028791 | Brandi Hallman | Registered Nurse | 300 Matthews Drive, Saluda, SC 29138 | 2019-02-01 |
| Find all providers with the same taxonomy | ||||
| City | WARE SHOALS |
| Zip Code | 29692 |
Please comment or provide details below to improve the information on WHITNEY JOHNSON BROADWELL.
| 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.