CHRISTA DEANETTE BROCKWAY (NPI# 1366885063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366885063 |
| Entity Type | Individual |
| Full Name | CHRISTA DEANETTE BROCKWAY |
| Credential | CRNP |
| Practice Address |
105 Teakwood Dr Sw Huntsville AL 35801-3454 |
| Mailing Address |
12201 Bluegrass Pkwy Louisville KY 40299-2361 |
| Practice Telephone | 2568815000 |
| Practice Fax Number | 2568818629 |
| Mailing Telephone | 5025687364 |
| Mailing Fax Number | 5025687136 |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2019-04-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-100065 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
105 TEAKWOOD DR SW |
| City | HUNTSVILLE |
| State | AL |
| Zip Code | 35801-3454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629171293 | Charles Itoe Misori | Nurse Practitioner | 105 Teakwood Dr Sw, Huntsville, AL 35801-3454 | 2006-09-07 |
| 1578980470 | Lp Huntsville, LLC | Skilled Nursing Facility | 105 Teakwood Dr Sw, Huntsville, AL 35801-3454 | 2014-03-28 |
| 1255755039 | Whitesburg Gardens, LLC | Skilled Nursing Facility | 105 Teakwood Dr Sw, Huntsville, AL 35801-3454 | 2014-02-13 |
| 1992089627 | Geetha Powers Jacob | Nurse Practitioner | 105 Teakwood Dr Sw, Huntsville, AL 35801-3454 | 2011-09-29 |
| 1427205749 | Kelly Smith | Occupational Therapist | 105 Teakwood Dr Sw, Huntsville, AL 35801-3454 | 2008-08-19 |
| 1316103914 | Bonnie Eversole | Physical Therapist | 105 Teakwood Dr Sw, Huntsville, AL 35801-3454 | 2008-08-03 |
| 1144484304 | Shaunda Pachelle Payne | Occupational Therapist | 105 Teakwood Dr Sw, Huntsville, AL 35801-3454 | 2008-07-16 |
| 1952565129 | Courtney Lohse Iv | Speech-Language Pathologist | 105 Teakwood Dr Sw, Huntsville, AL 35801-3454 | 2008-07-16 |
| 1750545927 | Brenda Smith | Speech-Language Pathologist | 105 Teakwood Dr Sw, Huntsville, AL 35801-3454 | 2008-07-16 |
| 1548424724 | Elizabeth D Greer | Speech-Language Pathologist | 105 Teakwood Dr Sw, Huntsville, AL 35801-3454 | 2008-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003422742 | Elena Mihaela Kruse | Nurse Practitioner | 415 Echurch St, Nw Suite 4, Huntsville, AL 35801 | 2020-09-18 |
| 1225657661 | Ashley Danielle Ford | Student in an Organized Health Care Education/Training Program | 301 Governors Drive Se, Huntsville, AL 35801 | 2020-04-15 |
| 1407417702 | Sasha J White | Specialist | 410 Governors Dr. Sw, Huntsville, AL 35801 | 2019-06-26 |
| 1003472978 | Gina Marie Delgado | Nurse Practitioner | Huntsville Hospital Cvicu, 101 Sivley Rd., Huntsville, AL 35801 | 2019-05-15 |
| 1366909863 | Lisa Starkey Suggs | Nurse Practitioner | 3500 Memorial Parkway S.w., Huntsville, AL 35801 | 2019-02-21 |
| 1902373277 | Kelly S Fisher LLC | Counselor | 300 Clinton Avenue, Suite 22 A, Huntsville, AL 35801 | 2018-10-25 |
| 1073097911 | Brittani B Hamrick | Psychologist | 203 Eastside Sq Ste C9, Huntsville, AL 35801 | 2018-09-17 |
| 1548748312 | Jane O. Orton, Licsw, LLC | Social Worker | 120 Holmes Ave Ne, Huntsville, AL 35801 | 2018-08-02 |
| 1184100661 | Regroup Psychological Services | Psychologist | 2006 Franklin St. Se, Suite 110, Huntsville, AL 35801 | 2018-07-17 |
| 1366968398 | Bennett Brent Smith | Physician Assistant | 825 Adams St. Se, Huntsville, AL 35801 | 2017-08-22 |
| Find all providers in zip 35801 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174320 | Sweet Home Telehealth LLC | Nurse Practitioner | 3 Sudworth Dr Sw, Huntsville, AL 35824-4099 | 2020-11-07 |
| 1386251742 | Jennifer Lynn Castillo | Nurse Practitioner | 280 S 9500 E, Huntsville, UT 84317-9766 | 2020-09-29 |
| 1306452545 | Richard Keith Fell | Nurse Practitioner | 2785 Carl T Jones Dr Se Ste C, Huntsville, AL 35802-4947 | 2020-09-22 |
| 1003422742 | Elena Mihaela Kruse | Nurse Practitioner | 415 Echurch St, Nw Suite 4, Huntsville, AL 35801 | 2020-09-18 |
| 1881211647 | Ciara Whitt | Nurse Practitioner | 26 Maple Grove Blvd Sw, Huntsville, AL 35824-4005 | 2020-06-28 |
| 1275158289 | Lynda Jean Masco | Nurse Practitioner | 807 Tannahill Dr Se, Huntsville, AL 35802-1935 | 2020-06-15 |
| 1265068076 | Sarah Jean | Nurse Practitioner | 1610 Ben Graves Drive Nw, Huntsville, AL 35816 | 2020-03-13 |
| 1497387229 | Mary Anne Tessitore | Nurse Practitioner | 193 Interstate 45 S, Huntsville, TX 77340-4256 | 2020-02-10 |
| 1790324424 | Ashley Froscello I | Nurse Practitioner | 610 Airport Rd Sw # 210, Huntsville, AL 35802-4304 | 2019-12-28 |
| 1811546237 | Jennifer Congdon | Nurse Practitioner | 264 Fm 3478, Huntsville, TX 77320 | 2019-09-09 |
| Find all providers in HUNTSVILLE | ||||
| City | HUNTSVILLE |
| Zip Code | 35801 |
Please comment or provide details below to improve the information on CHRISTA DEANETTE BROCKWAY.
| 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.