AMY RENEE BRODEUR


Address: 2930 11th Ave, Evans, CO 80620-1011
Phone: 9703504606

AMY RENEE BRODEUR (NPI# 1376026336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376026336
Entity Type Individual
Full Name AMY RENEE BRODEUR
Credential FNP
Practice Address 2930 11th Ave
Evans
CO 80620-1011
Practice Telephone 9703504606
Practice Fax Number 9703504645
Mailing Telephone 9703504606
Mailing Fax Number 9703504645
Enumeration Date 2018-09-14
Last Update Date 2018-09-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 994120 CO Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2930 11TH AVE
City EVANS
State CO
Zip Code 80620-1011

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164424354 Leonard Alexander Lowe Jr. Emergency Medicine 2930 11th Ave, Evans, CO 80620-1011 2005-06-01
1386250843 North Range Behavioral Health Clinic/Center 2930 11th Ave, Evans, CO 80620-1011 2020-09-21
1639780760 Cassandra Bigley Nurse Practitioner 2930 11th Ave, Evans, CO 80620-1011 2020-08-12
1558993170 Kelly Dineen Scott-kitzman Nurse Practitioner 2930 11th Ave, Evans, CO 80620-1011 2020-02-11
1851930663 Sunrise Community Health Clinic/Center 2930 11th Ave, Evans, CO 80620-1011 2019-12-26
1942843743 Emily E Wright Physician Assistant 2930 11th Ave, Evans, CO 80620-1011 2019-10-24
1053953232 Hannah Constantin Physician Assistant 2930 11th Ave, Evans, CO 80620-1011 2019-10-09
1134695745 Sarah Elizabeth Curzon Physician Assistant 2930 11th Ave, Evans, CO 80620-1011 2018-10-22
1881160638 Krista Gail Jones Physician Assistant 2930 11th Ave, Evans, CO 80620-1011 2018-10-19
1194202218 Dennise Estefania Salazar Physician Assistant 2930 11th Ave, Evans, CO 80620-1011 2018-07-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932734605 Focus Point Consulting LLC Optometrist Sams Club Optical, 3247 23rd Ave, Evans, CO 80620 2020-03-03
1992040786 Homefront Health and Occupational Medicine LLC Preventive Medicine 1705 32nd St., Evans, CO 80620 2012-12-05
1295980233 Joshua Woodland Optometrist 3247 23rd Ave., (inside Sams Club), Evans, CO 80620 2008-11-18
1619125903 Sam's Club Optical Eyewear Supplier (Equipment, not the service) 3247 23rd Avenue, Evans, CO 80620 2008-08-29
1699300020 Focus Point Consulting LLC Optometrist Sams Club Optical, 3247 23rd St, Evans, CO 80620 2020-03-05
1316430812 Niki Avery Pediatric Pt LLC Physical Therapist 1050 37th St, Evans, CO 80620 2018-06-08
1013548866 Envision Creative Support for People With Developmental Disabilities Respite Care 1050 37th Street, Evans, CO 80620-0069 2020-01-30
1760922827 Shanea Barickman Home Health Aide 3222 11th Ave, 313, Evans, CO 80620-1545 2017-03-08
1013429695 Malama Ohana LLC Home Health 3222 11th Ave Apt 313, Evans, CO 80620-1546 2017-11-03
1154578961 Sams West Inc Durable Medical Equipment & Medical Supplies 3247 23rd Ave, Evans, CO 80620-1733 2008-08-22
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164029443 Cierra L Gladden Nurse Practitioner 312 Club House Dr, Evans, WV 25241-8055 2020-10-08
1821645623 Sarah Michelle Freer Nurse Practitioner 512 Oconee Cir, Evans, GA 30809-7090 2019-08-26
1558993170 Kelly Dineen Scott-kitzman Nurse Practitioner 2930 11th Ave, Evans, CO 80620-1011 2020-02-11
1588208813 Catherine Sasser Nurse Practitioner 902 Ponder Place Ct, Evans, GA 30809-3115 2019-10-30
1760960629 Lauren M Lewis Hebert Nurse Practitioner 902 Ponder Place Ct, Evans, GA 30809-3115 2018-08-02
1992251367 Elizabeth Sewczak Nurse Practitioner 2930 11th Ave, Evans, CO 80620-1011 2016-08-26
1003298274 Ashley Nix Nurse Practitioner 447 N Belair Rd Ste 101, Evans, GA 30809-3091 2015-06-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1285235952 Che Pimentel Nurse Practitioner 16067 6030 Rd, Montrose, CO 81403-9609 2020-11-08
1720689789 Noco New Beginnings Nurse Practitioner 1019 39th Ave Ste J, Greeley, CO 80634-2501 2020-11-05
1144827825 Krs Health LLC Nurse Practitioner 3362 Dovetail Dr, Berthoud, CO 80513-8931 2020-10-06
1508471772 Anne Judd Nurse Practitioner 7114 Avondale Rd, Fort Collins, CO 80525-8210 2020-09-14
1891300950 Autumn Albert Nurse Practitioner 1295 Kelly Johnson Blvd Ste 110, Colorado Springs, CO 80920-3978 2020-09-14
1295349462 Katherine Pedersen Nurse Practitioner 3827 N Lafayette St, Denver, CO 80205-3339 2020-09-03
1255944922 Melissa Mathern Nurse Practitioner 7818 S Hill Cir, Littleton, CO 80120-4320 2020-08-24
1902416233 Aja Danielle Petracca-lennon Nurse Practitioner 1044 Diamond Rim Dr, Colorado Springs, CO 80921-8429 2020-08-02
1245849637 Stacy Shomo Nurse Practitioner 1688 Valley Oak Ct, Castle Rock, CO 80104-2211 2020-07-30
1376151902 Victoria Marie Rallens Nurse Practitioner 316 N 3rd Ave, Sterling, CO 80751-3110 2020-07-20
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Competitor

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City EVANS
Zip Code 80620

Improve Information

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Dataset Information

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.

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