VICKY L BRODERICK (NPI# 1497880934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497880934 |
| Entity Type | Individual |
| Full Name | VICKY L BRODERICK |
| Credential | CNNP |
| Practice Address |
1550 N 115th St Seattle WA 98133-8401 |
| Mailing Address |
Po Box 50095 Seattle WA 98145-5095 |
| Practice Telephone | 2065205000 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-09-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
AP30003054 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 800 E 21st St, Neonatal Intensive Care Unit, Sioux Falls, SD 571051016 | 6053224400 | 6053224499 |
| Street Address |
1550 N 115TH ST |
| City | SEATTLE |
| State | WA |
| Zip Code | 98133-8401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588660831 | Eduardo Saul Margo | Internal Medicine | 1550 N 115th St, Seattle, WA 98133-8401 | 2005-06-22 |
| 1639784838 | Solee Lim | Registered Nurse | 1550 N 115th St, Seattle, WA 98133-8401 | 2020-09-14 |
| 1033745500 | Hanna Esther Kott | Nurse Practitioner | 1550 N 115th St, Seattle, WA 98133-8401 | 2020-03-17 |
| 1902431505 | Laura Janae Brazer | Nurse Practitioner | 1550 N 115th St, Seattle, WA 98133-8401 | 2020-03-04 |
| 1336771864 | Catherine Anne Bardsley | Nurse Practitioner | 1550 N 115th St, Seattle, WA 98133-8401 | 2020-02-12 |
| 1164073383 | Cher Ann Kier | Social Worker | 1550 N 115th St, Seattle, WA 98133-8401 | 2019-09-28 |
| 1023570637 | Brandee Wellman | Physical Therapy Assistant | 1550 N 115th St, Seattle, WA 98133-8401 | 2019-04-02 |
| 1780160846 | Trang T Nguyen | Nurse Anesthetist, Certified Registered | 1550 N 115th St, Seattle, WA 98133-8401 | 2018-07-12 |
| 1497253207 | Linda Joan Hagemeyer | Occupational Therapist | 1550 N 115th St, Seattle, WA 98133-8401 | 2018-01-26 |
| 1306351937 | Heather Louise Martin | Occupational Therapist | 1550 N 115th St, Seattle, WA 98133-8401 | 2017-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339388 | Marni Lynn Hanig | Occupational Therapist | 1900 N 170th St., Shoreline, WA 98133 | 2019-10-29 |
| 1871074807 | Minju Kim | Counselor | 14332 Burke Ave N, Seattle, WA 98133 | 2018-08-27 |
| 1821582941 | Hana Alema Misgina | Registered Nurse | 927 N 199th St, Shoreline, WA 98133 | 2018-06-21 |
| 1588177729 | Julie Benefiel | Pharmacist | 1536 N 115th St. Suite 100, Seattle, WA 98133 | 2017-11-09 |
| 1730607953 | Aurora Oaks, LLC | Skilled Nursing Facility | 16357 Aurora Avenue North, Shoreline, WA 98133 | 2017-09-08 |
| 1750801072 | Zoe Ana Cavnar-lewandowski | Counselor | 10700 Meridian Avenue N, Suite G-11, Seattle, WA 98133 | 2017-06-27 |
| 1851820211 | Adam Lee Gardner Sr. | Acupuncturist | 925 N 163rd Street, Unit B, Shoreline, WA 98133 | 2017-06-08 |
| 1376085209 | Pamela Ashby | Counselor | 2111 N. Northgateway, 212, Seattle, WA 98133 | 2016-11-09 |
| 1225584956 | General Dentistry | Dentist | 20109 Aurora Ave N, Ste D, Shoreline, WA 98133 | 2016-09-01 |
| 1144672668 | Aaron Neubauer | Behavioral Analyst | 13407 Greenwood Ave N, 216c, Seattle, WA 98133 | 2016-07-08 |
| Find all providers in zip 98133 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023627528 | Stephanie Jessica Partin | Nurse Practitioner | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-07-30 |
| 1962046425 | Kelsie Shizuyo Furutani | Nurse Practitioner | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2019-10-28 |
| 1265097752 | Kaylee Michelle Ehman | Nurse Practitioner | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2019-05-09 |
| 1295291755 | Brandy Nicole Galloway | Nurse Practitioner | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2019-02-20 |
| 1548750276 | Rocio Noemi Humphrey | Nurse Practitioner | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2018-05-17 |
| 1205340304 | Joanna Marie Mclaughlin | Nurse Practitioner | 1959 Ne Pacific St, Seattle, WA 98195-3003 | 2017-11-28 |
| 1841730637 | Nathanael Schooley | Nurse Practitioner | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2017-02-28 |
| 1811389075 | Catherine Lindsay Baker | Nurse Practitioner | 1959 Ne Pacific St, Seattle, WA 98195-6077 | 2015-02-25 |
| 1912306648 | Lauren Sacco | Nurse Practitioner | 4800 Sand Point Way Ne, M/s Rc-405, Seattle, WA 98105-3901 | 2014-08-19 |
| 1790116770 | Genevieve Dennis | Nurse Practitioner | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2013-12-02 |
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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.