SAMANTHA ANN BROGHAMMER (NPI# 1497365720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497365720 |
| Entity Type | Individual |
| Full Name | SAMANTHA ANN BROGHAMMER |
| Credential | RD |
| Practice Address |
4600 W Schroeder Dr Brown Deer WI 53223-6458 |
| Mailing Address |
344a N 68th St Wauwatosa WI 53213-3931 |
| Practice Telephone | 4148652500 |
| Mailing Telephone | 9209462855 |
| Enumeration Date | 2020-08-02 |
| Last Update Date | 2020-08-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 86095627 | WI | Dietary & Nutritional Service Providers |
| Street Address |
4600 W SCHROEDER DR |
| City | BROWN DEER |
| State | WI |
| Zip Code | 53223-6458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477651743 | Benjamin F Beaumont | Physician Assistant | 4600 W Schroeder Dr, Brown Deer, WI 53223-1469 | 2006-09-20 |
| 1669952552 | Carol Harewood | Physician Assistant | 4600 W Schroeder Dr, Brown Deer, WI 53223-1469 | 2018-08-20 |
| 1750874822 | Maisie Mae Floyd | Counselor | 4600 W Schroeder Dr, Brown Deer, WI 53223-1469 | 2018-06-12 |
| 1730684457 | Nathan Alexander Tratnik | Counselor | 4600 W Schroeder Dr, Brown Deer, WI 53223-1469 | 2018-03-26 |
| 1548788623 | Tiffany Sandra Sheperd | Registered Nurse | 4600 W Schroeder Dr, Brown Deer, WI 53223-1469 | 2017-09-08 |
| 1699089490 | Jessica Lynn Brumm-larson | Counselor | 4600 W Schroeder Dr, Brown Deer, WI 53223-1469 | 2010-08-04 |
| 1932411584 | Aman Mahajan | Psychiatry & Neurology | 4600 W Schroeder Dr, Rogers Memorial Hospital, Brown Deer, WI 53223-1469 | 2010-07-12 |
| 1922329325 | Tatjana Barisic-dujmovic | Psychiatry & Neurology | 4600 W Schroeder Dr, Brown Deer, WI 53223-1469 | 2010-06-20 |
| 1629395876 | Jennifer Fisher | Clinic/Center | 4600 W Schroeder Dr, Brown Deer, WI 53223-1469 | 2010-04-28 |
| 1972731479 | Syed Qhadeer Hussaini | Psychiatry & Neurology | 4600 W Schroeder Dr, Brown Deer, WI 53223-1469 | 2009-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235742206 | Jamie Brown | Home Health Aide | 8200 W. Clovernook Street, Milwaukee, WI 53223 | 2020-08-28 |
| 1730725656 | Lekecia Ferguson | Case Manager/Care Coordinator | 7970 W Glendbrook Rd, Milwaukee, WI 53223 | 2019-11-26 |
| 1457994717 | Talitha Cumi | Specialist | 6239 West Boehlke Avenue, Tiana M. Jenkins, Mlwaukee, WI 53223 | 2019-10-18 |
| 1235627498 | Letitia Dotson | Licensed Practical Nurse | 9395 N 49th St, Apt 201, Brown Deer, WI 53223 | 2018-04-24 |
| 1588176002 | Courtney Erin Tomaszewski | Occupational Therapy Assistant | 7300 W. Dean Rd, Milwaukee, WI 53223 | 2017-10-25 |
| 1972051373 | Sam's East, Inc. | Technician/Technologist | 8100 N 124th Street, Milwaukee, WI 53223 | 2016-09-14 |
| 1346671302 | Atlantic Home Health Care, Inc | Home Health | 5600 West Brown Deer Road, #216, Brown Deer, WI 53223 | 2013-12-02 |
| 1720415938 | Bell Therapy, Inc. | Community Based Residential Treatment Facility, Mental Illness | 7229-7231 W. Brentwood Ave., Milwaukee, WI 53223 | 2013-10-02 |
| 1528405701 | Ground Support Logistics LLC | Driver | 8200 W Browndeer Rd, Milwaukee, WI 53223 | 2013-05-29 |
| 1801136288 | Nicole M. Rintelman | Registered Nurse | 4600 W. Schroeder Drive, Rogers Memorial Hospital, Brown Deer, WI 53223 | 2013-02-22 |
| Find all providers in zip 53223 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518360882 | Amy Prout | Dietitian, Registered | 9252 N Green Bay Rd, Brown Deer, WI 53209-1104 | 2014-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001909 | Wendy M Barth | Dietitian, Registered | N3035 Sidney Ave, Neillsville, WI 54456-7037 | 2020-10-21 |
| 1255946166 | Rachael Omdoll | Dietitian, Registered | 700 Airview Dr, Palmyra, WI 53156-9204 | 2020-09-09 |
| 1194336669 | Carly Duerst | Dietitian, Registered | W6068 Pioneer Rd, New Glarus, WI 53574-9735 | 2020-08-10 |
| 1730799636 | Bailey May Knutson | Dietitian, Registered | N44w6025 Hamilton Rd, Cedarburg, WI 53012-2454 | 2020-08-05 |
| 1538778550 | Kirsten White | Dietitian, Registered | W3021 Cara Way, Appleton, WI 54915-3991 | 2020-07-27 |
| 1780293696 | Samantha Jo Johnson | Dietitian, Registered | 2854 Greenbrier Rd, Green Bay, WI 54311-6528 | 2020-07-27 |
| 1487272977 | Sara Elizabeth Flitter | Dietitian, Registered | W437 Clement Cir, Campbellsport, WI 53010-1846 | 2020-07-10 |
| 1821616517 | Emily Anne Oschmann | Dietitian, Registered | 630 Woodland Cir, Waterford, WI 53185-2885 | 2020-07-08 |
| 1982221180 | Emilie Williamson | Dietitian, Registered | 1340 S 72nd St, West Allis, WI 53214-3122 | 2020-07-03 |
| 1811512916 | Nicole Lehtinen | Dietitian, Registered | 20200 Poplar Creek Pkwy Unit 116n, Brookfield, WI 53045-2163 | 2020-06-15 |
| Find all providers with the same taxonomy | ||||
| City | BROWN DEER |
| Zip Code | 53223 |
Please comment or provide details below to improve the information on SAMANTHA ANN BROGHAMMER.
| 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.