CHRISTEEN IVY BROADDUS (NPI# 1699183608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699183608 |
Entity Type | Individual |
Full Name | CHRISTEEN IVY BROADDUS |
Credential | APRN |
Practice Address |
Uk Division of Hospital Medicine 800 Rose St, Mn604 Lexington KY 40536-0298 |
Practice Telephone | 8593236047 |
Practice Fax Number | 8592573873 |
Mailing Telephone | 8593236047 |
Mailing Fax Number | 8592573873 |
Enumeration Date | 2014-07-23 |
Last Update Date | 2015-01-23 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 3008794 | KY | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
3008794 | KY | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
UK DIVISION OF HOSPITAL MEDICINE 800 ROSE ST, MN604 |
City | LEXINGTON |
State | KY |
Zip Code | 40536-0298 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912981150 | Charles Randall Jones | Internal Medicine | Uk Division of Hospital Medicine, 800 Rose Street, Mn604, Lexington, KY 40536-0294 | 2005-12-01 |
1669924296 | Robert Paul Leath Jr. | Nurse Practitioner | Uk Division of Hospital Medicine, 800 Rose Street, Mn604, Lexington, KY 40536-7001 | 2016-10-31 |
1124429253 | Jason C Groth | Physician Assistant | Uk Division of Hospital Medicine, 800 Rose Street, Mn604, Lexington, KY 40536-0298 | 2014-09-08 |
1134520406 | Valerie Sleeth | Physician Assistant | Uk Division of Hospital Medicine, 800 Rose St., Mn604, Lexington, KY 40536-0298 | 2014-09-05 |
1366857310 | Hassan Hasanein | Internal Medicine | Uk Division of Hospital Medicine, 800 Rose St, Mn604, Lexington, KY 40536-0001 | 2014-06-29 |
1235549213 | Denise N. Feldman | Nurse Practitioner | Uk Division of Hospital Medicine, 800 Rose St., Mn604, Lexington, KY 40536-0298 | 2014-04-30 |
1326488594 | Mohsin Salih | Internal Medicine | Uk Division of Hospital Medicine, 800 Rose St, Mn604, Lexington, KY 40536-0001 | 2013-07-02 |
1639431919 | Hemang Jagdish Shah | Internal Medicine | Uk Division of Hospital Medicine, 800 Rose St, Mn604, Lexington, KY 40536-0298 | 2012-06-12 |
1598023004 | Clark Sleeth | Internal Medicine | Uk Division of Hospital Medicine, 800 Rose St., Mn604, Lexington, KY 40536-0298 | 2012-05-03 |
1427316207 | Hannah Joy Mastbergen | Internal Medicine | Uk Division of Hospital Medicine, 800 Rose St, Mn604, Lexington, KY 40536-0298 | 2012-04-30 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790394583 | Mary Luz Calderon | Physician Assistant | Uk Pediatric Neonatology, 800 Rose St 4th Fl, Lexington, KY 40536 | 2020-07-28 |
1598389421 | Storm Bryant Dutton | Physician Assistant | Uk Emergency Department - Chandler, 1000 S Limestone, Lexington, KY 40536 | 2020-06-06 |
1720601545 | Tyler Allen Pape | Physician Assistant | Uk Surgery Clinic - General, 740 S Limestone Ste L104, Lexington, KY 40536 | 2020-05-27 |
1417579269 | Kacy Clinkenbeard | Physician Assistant | Uk Healthcare-icu, 800 Rose St, Lexington, KY 40536 | 2020-05-15 |
1023578804 | William Chalmers Ruffin | Student in an Organized Health Care Education/Training Program | 740 South Limestone St. E300e, Lexington, KY 40536 | 2019-03-20 |
1942705728 | Karah Lee Ellen Brown | Dentist | 800 Rose Street, Room D-508, Lexington, KY 40536 | 2018-03-26 |
1982109708 | Khader Samir Habash | Dentist | 740 S Limestone Room A262, Lexington, KY 40536 | 2018-03-25 |
1609370683 | Casey Michael Fitzgerald | Otolaryngology | 740 South Limestone Ears Nose and Throat Clinic, Lexington, KY 40536 | 2018-03-22 |
1538663992 | Heather Oaks | Nurse Practitioner | Uk Gill Heart Institute 800 Rose St, Lexington, KY 40536 | 2018-03-21 |
1396268223 | Prasanna Kumar Gangishetti | Pediatrics | 800 Rose St Rm No Mn-118, Lexington, KY 40536 | 2017-07-23 |
Find all providers in zip 40536 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548868367 | Emily Han | Nurse Practitioner | 3245 Orchard Grass Rd, Lexington, KY 40509-8639 | 2020-10-14 |
1548740111 | Doreen M Legere | Nurse Practitioner | Uk Division of Pulmonary Critical Care 800 Rose St, Lexington, KY 40536-0001 | 2018-08-14 |
1548747884 | William Brian James | Nurse Practitioner | Univ of Ky 800 Rose Street, Lexington, KY 40536-0001 | 2018-07-19 |
1851608459 | Shannon C Shumaker | Nurse Practitioner | 800 Rose Street Gill Heart Institute, Lexington, KY 40536-0298 | 2010-09-03 |
1578890224 | Dana Lenore Smith | Nurse Practitioner | 4711 Sunset Boulevard, Agape Primary Care At Twelve Mile Creek, Lexington, SC 29072 | 2009-11-17 |
1598090243 | Jill Marie Clemmons | Nurse Practitioner | University of Kentucky Department Of, 740 South Limestone St. Room A125, Lexington, KY 40536-0001 | 2009-10-14 |
1679712087 | Juliann Paige Matheny | Nurse Practitioner | 138 Leader Ave Suite 119, Lexington, KY 40506-3446 | 2009-02-09 |
1508967571 | Carol Lynn Thompson | Nurse Practitioner | Uk Division of Pulmonary Critical Care, 800 Rose Street, Lexington, KY 40536-0284 | 2006-09-25 |
1508868266 | Tonja A Gantt | Nurse Practitioner | 716 Old Cherokee Rd, Lexington, SC 29072-9406 | 2005-08-12 |
1083616064 | Debra Dellay | Nurse Practitioner | 989 Governors Ln, Ste 180, Lexington, KY 40513-1175 | 2005-08-10 |
Find all providers in LEXINGTON |
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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.