JENNIFER E. BROYLES (NPI# 1639584535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639584535 |
| Entity Type | Individual |
| Full Name | JENNIFER E. BROYLES |
| Other Name | JENNIFER E. MAHAN |
| Credential | CRNA |
| Practice Address |
1400 Hospital Dr Hurricane WV 25526-9202 |
| Mailing Address |
Po Box 3466 Charleston WV 25334-3466 |
| Practice Telephone | 3047208816 |
| Practice Fax Number | 9044946467 |
| Mailing Telephone | 3047208816 |
| Mailing Fax Number | 9044946467 |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2019-04-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 75505 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | 93283 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | GROUP MEDICARE | 9333201 | 01 |
| WV | GROUP MEDICAID | 0207026000 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568798221 | Jennifer Lynn Broyles | Massage Therapist | 3001 Wildflower Dr, Suite 125, Bryan, TX 77802-3061 | 2009-10-29 |
| 1235259011 | Jennifer S Broyles | Family Medicine | 6450 38th Ave N Ste 400, St Petersburg, FL 33710-1653 | 2007-03-29 |
| 1467868919 | Jennifer Lee Broyles | Nurse Practitioner | 500 Martha Jefferson Dr, Charlottesville, VA 22911 | 2014-07-05 |
| 1720351273 | Jennifer Rose Broyles | Counselor | 900 Broadway, Suite 1, Poteau, OK 74953 | 2012-02-14 |
| 1629204805 | Jennifer J. Broyles | Physical Therapist | 126 Mill Lane, Heartland Rehabilitation Services of Virginia, Inc, Salem, VA 24153 | 2009-06-02 |
| Street Address |
1400 HOSPITAL DR |
| City | HURRICANE |
| State | WV |
| Zip Code | 25526-9202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063412021 | Robert Leo Walker Jr. | Anesthesiology | 1400 Hospital Dr, Hurricane, WV 25526-9202 | 2005-07-29 |
| 1801406053 | Rachel Christine Ashley | Physician Assistant | 1400 Hospital Dr, Hurricane, WV 25526-9202 | 2020-08-03 |
| 1275199275 | Robin D. White | Nurse Practitioner | 1400 Hospital Dr, Hurricane, WV 25526-9202 | 2019-05-15 |
| 1164086971 | Jenny Lee Irvin | Nurse Practitioner | 1400 Hospital Dr, Hurricane, WV 25526-9202 | 2019-04-26 |
| 1427578517 | Sarah D. Mcclanahan | Nurse Practitioner | 1400 Hospital Dr, Hurricane, WV 25526 | 2017-06-21 |
| 1649705104 | Susan E. Farley | Nurse Practitioner | 1400 Hospital Dr, Hurricane, WV 25526-9202 | 2017-04-21 |
| 1174054530 | Ryan Clay Bailey | Registered Nurse | 1400 Hospital Dr, Hurricane, WV 25526-9202 | 2017-03-27 |
| 1417377409 | David T Rossi | Nurse Anesthetist, Certified Registered | 1400 Hospital Dr, Hurricane, WV 25526-9202 | 2014-04-17 |
| 1821352485 | Danielle Michelle Clark | Nurse Anesthetist, Certified Registered | 1400 Hospital Dr, Hurricane, WV 25526-9202 | 2012-06-28 |
| 1730473612 | Richard D Drennen | Registered Nurse | 1400 Hospital Dr, Hurricane, WV 25526-9202 | 2011-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081707 | Paige E Walroth | Technician | 51 Overlook Dr, Hurricane, WV 25526 | 2020-10-21 |
| 1770195778 | Marilyn Sue Shank | Technician | 168 Willow Tree Way, Apt 313, Hurricane, WV 25526 | 2020-08-20 |
| 1275150351 | Wv Wellness and Recovery LLC | Clinic/Center | 4 Putnam Village Drive, Hurricane, WV 25526 | 2020-07-06 |
| 1538645718 | Patsy Samples | Technician | 3067 State Rt 34s, Hurricane, WV 25526 | 2018-07-11 |
| 1528550274 | Sarah Marie Jackson | Occupational Therapist | Genesis-putnam Center, 300 Seville Road, Hurricane, WV 25526 | 2018-05-30 |
| 1619466463 | Mh Psychological Services, Pllc | Psychologist | 125 Morris Ct, Hurricane, WV 25526 | 2018-05-08 |
| 1023510740 | William Riddle | Technician | 157 Washington Cirlce, Hurricane, WV 25526 | 2018-03-08 |
| 1942702303 | Natalie Whitman | Technician | 2933 State Route 34 South, Hurricane, WV 25526 | 2018-03-01 |
| 1972002681 | Dianna Roberts | Technician | 550 Dudding Avenue, Hurricane, WV 25526 | 2018-02-08 |
| 1174022875 | Nancy Adams | Technician | 1 Western Hills Drive, Hurricane, WV 25526 | 2018-02-08 |
| Find all providers in zip 25526 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (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. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609104660 | Kathy Hickman James | Nurse Anesthetist, Certified Registered | 2038 Mount Vernon Rd, Hurricane, WV 25526-9737 | 2009-12-02 |
| 1679658868 | Toni J Poster | Nurse Anesthetist, Certified Registered | 82 Red Berry Dr, Hurricane, WV 25526-8433 | 2006-10-26 |
| 1063453371 | Phyllis Arlene Pullen | Nurse Anesthetist, Certified Registered | 314 Rhoda St, Hurricane, WV 25526 | 2006-06-09 |
| 1417377409 | David T Rossi | Nurse Anesthetist, Certified Registered | 1400 Hospital Dr, Hurricane, WV 25526-9202 | 2014-04-17 |
| 1821352485 | Danielle Michelle Clark | Nurse Anesthetist, Certified Registered | 1400 Hospital Dr, Hurricane, WV 25526-9202 | 2012-06-28 |
| 1861720823 | Tara Leanne Daniels | Nurse Anesthetist, Certified Registered | 1400 Hospital Dr, Hurricane, WV 25526-9202 | 2009-12-02 |
| 1881844181 | Sarah Beth Clendenin | Nurse Anesthetist, Certified Registered | 1400 Hospital Dr, Mid-atlantic Anesthesia Consultants, LLC At Camc Teays, Hurricane, WV 25526-9202 | 2008-09-23 |
| 1821253006 | Ginger Marie Moosavi | Nurse Anesthetist, Certified Registered | 1400 Hospital Dr, Hurricane, WV 25526-9202 | 2008-07-27 |
| 1922280411 | Tracie M Metheny | Nurse Anesthetist, Certified Registered | 1400 Hospital Dr, Hurricane, WV 25526-9202 | 2007-11-27 |
| 1740388321 | Christa Renee Swiney | Nurse Anesthetist, Certified Registered | 1400 Hospital Dr, Mid-atlantic Anesthesia Consultants, LLC At Camc Teays, Hurricane, WV 25526-9202 | 2006-09-20 |
| Find all providers in HURRICANE | ||||
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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.