DANIEL A BROEKHUIZEN (NPI# 1558381616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558381616 |
| Entity Type | Individual |
| Full Name | DANIEL A BROEKHUIZEN |
| Credential | NP |
| Practice Address |
1629 Medical Arts Blvd Suite 200 Anderson IN 46011-3454 |
| Mailing Address |
6626 E. 75th Street Suite 500 Indianapolis IN 46250-2890 |
| Practice Telephone | 7652985439 |
| Practice Fax Number | 7652984920 |
| Mailing Telephone | 7652984449 |
| Mailing Fax Number | 7652984950 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2015-03-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 71000421A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200217190 | 05 |
| Street Address |
1629 MEDICAL ARTS BLVD SUITE 200 |
| City | ANDERSON |
| State | IN |
| Zip Code | 46011-3454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083634141 | Jennifer J Fouts | Nurse Practitioner | 1629 Medical Arts Blvd, Suite 200, Anderson, IN 46011-3454 | 2006-07-20 |
| 1366706657 | Judith Ann Correll | Audiologist | 1629 Medical Arts Blvd, Suite 200, Anderson, IN 46011-3454 | 2012-07-02 |
| 1528202413 | Tony Isiah Mcherron | Pediatrics | 1629 Medical Arts Blvd, Suite 200, Anderson, IN 46011-3454 | 2009-04-23 |
| 1629243944 | Amanda Jean Furr | Pediatrics | 1629 Medical Arts Blvd, Suite 200, Anderson, IN 46011-3454 | 2008-04-28 |
| 1114142346 | Jaime Leigh Stelzer | Pediatrics | 1629 Medical Arts Blvd, Suite 200, Anderson, IN 46011-3454 | 2007-04-14 |
| 1427154855 | Teresa Manuella Quant-callender | Pediatrics | 1629 Medical Arts Blvd, Suite 200, Anderson, IN 46011-3454 | 2006-09-15 |
| 1972527620 | Wilfredo Souchet | Pediatrics | 1629 Medical Arts Blvd, Suite 200, Anderson, IN 46011-3454 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124662226 | Full Circle Family Solutions, LLC | Counselor | 909 Northwood Drive, Anderson, IN 46011 | 2019-10-31 |
| 1497186563 | Andrea C Rich | Social Worker | 1317 Winding Way, Anderson, IN 46011 | 2013-11-27 |
| 1093080848 | Franklin Keith Beeler | Family Medicine | 930 Summerlin Court, Anderson, IN 46011 | 2012-03-13 |
| 1063609642 | Christopher Place At Keystone Woods Associates, LLC | Assisted Living Facility | 2334 North Madison Ave, Anderson, IN 46011 | 2007-09-27 |
| 1720155187 | Garry L Smith Dds PC | Dentist | 1528 Medical Arts Blvd, Anderson, IN 46011 | 2006-11-29 |
| 1891711586 | Suzanne Obrien Beeson | Psychologist | 1210 Medical Arts. Blvd., Suite 208, Anderson, IN 46011 | 2006-07-14 |
| 1669471199 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 1809 N Madison Ave, Anderson, IN 46011 | 2005-07-18 |
| 1265980742 | Andrew J Koehler | Counselor | 2010 Brentwood Dr, Anderson, IN 46011 | 2016-09-14 |
| 1902258866 | Audrey A. Dickerson | Physician Assistant | 1515 N Madison Ave, Anderson, IN 46011 | 2016-07-05 |
| 1104271790 | Mohammad Sami Bakdash | Internal Medicine | 1515 N Madison Ave, Anderson, IN 46011 | 2016-05-02 |
| Find all providers in zip 46011 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508473232 | Terry Kaye Hanks Busby | Nurse Practitioner | 1103 Harpers Way, Anderson, SC 29621-3519 | 2020-09-27 |
| 1568818177 | Concord Wellness Center & Home Health | Nurse Practitioner | 4126 Clemson Blvd, Suite 1a, Anderson, SC 29621-1113 | 2016-05-12 |
| 1831579648 | Kristin Golden | Nurse Practitioner | 4610 S Madison Ave, Anderson, IN 46013-1316 | 2015-06-05 |
| 1063815439 | Theresa R Neff | Nurse Practitioner | 2610 Enterprise Dr., Anderson, IN 46013-9684 | 2014-09-30 |
| 1194141317 | Rebecca A Bender | Nurse Practitioner | 510 Park Street, Anderson, MO 64831 | 2014-03-12 |
| 1457581134 | Jennifer L Stanley | Nurse Practitioner | 2976 N Scattefield Rd, Suite 101, Anderson, IN 46012 | 2009-07-16 |
| 1134272982 | Owen James Murry Jr. | Nurse Practitioner | 2503 North Main Street, Anderson Skin & Cancer Clinic Pa, Anderson, SC 29621-3278 | 2007-01-18 |
| 1083634141 | Jennifer J Fouts | Nurse Practitioner | 1629 Medical Arts Blvd, Suite 200, Anderson, IN 46011-3454 | 2006-07-20 |
| 1902873912 | Catherine Faye Mattingly | Nurse Practitioner | 2001 E Greenville St, Anderson, SC 29621-1529 | 2006-03-08 |
| 1639161219 | Diana M Harper | Nurse Practitioner | 100 Healthy Way Ste 1120, Anderson, SC 29621-7915 | 2005-08-18 |
| Find all providers in ANDERSON | ||||
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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.