MRS. LESLIE FAYE BROSCHAY (NPI# 1598276792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598276792 |
Entity Type | Individual |
Full Name | MRS. LESLIE FAYE BROSCHAY |
Other Name | LESLIE FAYE JOHNSON |
Credential | NP |
Practice Address |
2051 Hamill Road Hixson TN 37343 |
Mailing Address |
1949 Gunbarrel Road Suite 230 Chattanooga TN 37421 |
Practice Telephone | 4234952525 |
Practice Fax Number | 4234952625 |
Mailing Telephone | 4234954345 |
Mailing Fax Number | 4234954934 |
Enumeration Date | 2017-10-16 |
Last Update Date | 2017-12-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
23006 | TN | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2051 HAMILL ROAD |
City | HIXSON |
State | TN |
Zip Code | 37343 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649381344 | Lisa Bertina Carroll | Dermatology | 2051 Hamill Road, Ste 301 A, Hixson, TN 37343 | 2006-08-31 |
1033532429 | Rachel Nicole Kimble | Nurse Practitioner | 2051 Hamill Road, Hixson, TN 37343 | 2014-01-21 |
1821438441 | Mark Benjamin Currin | Urology | 2051 Hamill Road, Suite 401, Hixson, TN 37343 | 2013-06-27 |
1932440260 | Erin Martin | Nurse Practitioner | 2051 Hamill Road, Suite 301, Hixson, TN 37343 | 2013-03-12 |
1801154901 | Richard W Pigg | Family Medicine | 2051 Hamill Road, Suite 301, Hixson, TN 37343 | 2012-04-26 |
1093928020 | Christina Rebecca Parkhurst | Surgery | 2051 Hamill Road, Suite 104, Hixson, TN 37343 | 2007-05-07 |
1083700629 | George Wallace Mclean | Specialist | 2051 Hamill Road, Suite 401, Hixson, TN 37343 | 2006-10-04 |
1346333895 | Larry Gibson, M.d., P.C. | Psychiatry & Neurology | 2051 Hamill Road, #b, Hixson, TN 37343 | 2006-10-02 |
1710098413 | Sharon A Brown | Dermatology | 2051 Hamill Road, Ste 301 A, Hixson, TN 37343 | 2006-08-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689208480 | The Fun In Function LLC | Occupational Therapy Assistant | 5251 Hwy 153 Ste C, Pmb 264, Hixson, TN 37343 | 2020-03-02 |
1356902878 | Artha Julia Black | Dentist | 5756 Tn-153, Suite 128, Hixson, TN 37343 | 2019-06-25 |
1548749625 | Ramyadevi Ramamoorthi | Physical Therapist | 5000 Alpha Lane, Hixson, TN 37343 | 2018-08-09 |
1053800458 | Hixson Pharmacy Inc | Pharmacy | 5508 Hixson Pharmacy, Suite 1, Hixson, TN 37343 | 2018-05-02 |
1225531304 | Carrie Marie Stanage | Occupational Therapist | 5251 C Hwy 153, Pmb# 264, Hixson, TN 37343 | 2018-03-14 |
1124540117 | Nicole Ashley Uchida | Physical Therapist | 5022 Old Godsey Ln Ste 0, Hixson, TN 37343 | 2017-07-11 |
1740700400 | Toni Maxwell | Nurse Practitioner | 5741 Highway 153 Ste 117, Hixson, TN 37343 | 2017-06-23 |
1417366717 | Debra C. Wiertel | Nutritionist | 1963 Northpoint Blvd 109, Hixson, TN 37343 | 2014-08-12 |
1922386606 | Donna April Frye | Pharmacist | 5411 Highway 153, Hixson, TN 37343 | 2011-07-28 |
1437448172 | Janna Aislinn Mcmahan | Nurse Practitioner | 5211 Hwy 153, Suite M, Hixson, TN 37343 | 2011-04-04 |
Find all providers in zip 37343 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043770738 | Sara-page Red | Nurse Practitioner | 602 Narrows Way, Hixson, TN 37343-4789 | 2019-03-20 |
1447677901 | Debra Fine | Nurse Practitioner | 2051 Hamill Rd, Hixson, TN 37343-6614 | 2014-03-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316548191 | Anne Nicole Koethe | Nurse Practitioner | Saint Thomas Medical Group, 4230 Harding Pike #503, Nashville, TN 37205 | 2020-11-06 |
1063034429 | Jared Garrison | Nurse Practitioner | 700 Harbor Edge Dr Apt 102, Memphis, TN 38103-5840 | 2020-05-08 |
1548893472 | Caroline Kelly Pigford | Nurse Practitioner | 5737 Sarah Dr, Ooltewah, TN 37363-6465 | 2020-02-19 |
1447883343 | Jennifer Leigh Slater | Nurse Practitioner | 109 Williamsburg Blvd, Tullahoma, TN 37388-5412 | 2020-02-19 |
1811529118 | Michelle Filomena Grise | Nurse Practitioner | 1466 Tiny Town Rd, Clarksville, TN 37042-8291 | 2020-02-05 |
1902445935 | Brad Harrell, Dnp LLC | Nurse Practitioner | 233 Lackey Ln, Ripley, TN 38063-1619 | 2019-12-20 |
1861039612 | Teresa Hea Brown | Nurse Practitioner | 180 Melodie Cir, Henderson, TN 38340-3628 | 2019-11-27 |
1962044883 | Seph Kestner | Nurse Practitioner | 1215 21st Ave S Fl Mce5, Nashville, TN 37232-0014 | 2019-10-11 |
1003457409 | Leven Ward | Nurse Practitioner | 250 Hartfield Dr, Medina, TN 38355-8941 | 2019-10-07 |
1619527124 | Amelia Hoyt Laws | Nurse Practitioner | Vanderbilt University Medical Center 1211, Nashville, TN 37232-0001 | 2019-09-17 |
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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.