TILA BROADWAY (NPI# 1699183954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699183954 |
Entity Type | Individual |
Full Name | TILA BROADWAY |
Credential | WHNP-BC |
Practice Address |
23802 Highway 59 N Kingwood TX 77339-1510 |
Practice Telephone | 2813125400 |
Practice Fax Number | 2813125400 |
Mailing Telephone | 2813125400 |
Mailing Fax Number | 2813125440 |
Enumeration Date | 2014-07-30 |
Last Update Date | 2015-03-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
AP125930 | TX | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | BCBS | 8104NK | 01 |
Street Address |
23802 HIGHWAY 59 N |
City | KINGWOOD |
State | TX |
Zip Code | 77339-1510 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568465615 | Noel C Boyd | Obstetrics & Gynecology | 23802 Highway 59 N, Kingwood, TX 77339-1510 | 2005-05-23 |
1548623499 | Talelia Spence House | Obstetrics & Gynecology | 23802 Highway 59 N, Kingwood, TX 77339-1510 | 2016-03-29 |
1558595371 | Mary Kathleen Jackson | Obstetrics & Gynecology | 23802 Highway 59 N, Kingwood, TX 77339-1510 | 2009-05-07 |
1235384397 | Louise T Mann | Obstetrics & Gynecology | 23802 Highway 59 N, Kingwood, TX 77339-1510 | 2008-11-17 |
1225047962 | Patricia Pinckert | Nurse Practitioner | 23802 Highway 59 N, Kingwood, TX 77339-1510 | 2006-08-05 |
1538177258 | Her Healthcare LLP | Obstetrics & Gynecology | 23802 Highway 59 N, Kingwood, TX 77339-1510 | 2006-08-04 |
1871595140 | Amy C Plummer | Obstetrics & Gynecology | 23802 Highway 59 N, Kingwood, TX 77339-1510 | 2005-06-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851913669 | Robert Rowlands | Student in an Organized Health Care Education/Training Program | 22999 Us Hwy 59 N, Kingwood, Tx, 77339, Kingwood, TX 77339 | 2020-05-14 |
1295356467 | Christopher Dilger | Student in an Organized Health Care Education/Training Program | 22999 Us Hwy 59 N, Gme Suite 105, Kingwood, TX 77339 | 2020-04-29 |
1427600337 | Lynda Nguyen | Nurse Practitioner | 24006 Highway 59 N, Kingwood, TX 77339 | 2019-07-11 |
1215599139 | H-e-b, Lp | Clinical Medical Laboratory | 19529 Northpark Drive, Kingwood, TX 77339 | 2019-07-01 |
1639631492 | Trung Nguyen | Student in an Organized Health Care Education/Training Program | 22999 Us 59 N, Kingwood, TX 77339 | 2019-04-02 |
1467913673 | Bhavin G Shah | Student in an Organized Health Care Education/Training Program | 22999 Us-59 N, Kingwood, Tx 77339, Kingwood, TX 77339 | 2019-03-29 |
1164999462 | Erica Peters | Behavior Technician | 2825 W. Town Center Circle, Kingwood, TX 77339 | 2018-10-25 |
1780162040 | Kaldan Inc | Dentist | 23812 Hwy 59 North, Kingwood, TX 77339 | 2018-07-30 |
1457845745 | John Micheal Leondike | Nurse Practitioner | 2665 Royal Forrest Dr., Ste B-150, Kingwood, TX 77339 | 2018-06-19 |
1780173161 | Pta Home Health Care | Home Health | 5606 Rocky Trail Dr, Kingwood, TX 77339 | 2018-05-01 |
Find all providers in zip 77339 |
Taxonomy Code | 363LX0001X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Obstetrics & Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831669944 | Karen Petrusic Mcneal | Nurse Practitioner | 350 Kingwood Medical Dr Ste 350, Kingwood, TX 77339-6405 | 2018-12-01 |
1508972480 | Cindy Brown, Cnm, LLC | Nurse Practitioner | 60 Albright Rd, Suite 1, Kingwood, WV 26537-1075 | 2006-08-22 |
1225047962 | Patricia Pinckert | Nurse Practitioner | 23802 Highway 59 N, Kingwood, TX 77339-1510 | 2006-08-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366074262 | Asia Deann Johnson | Nurse Practitioner | 511 Park Grove Dr, Katy, TX 77450-1759 | 2020-02-08 |
1497396071 | Laura Anna Villegas | Nurse Practitioner | 301 Lorenaly Dr Ste E, Brownsville, TX 78526-4446 | 2019-10-04 |
1023521721 | Jennifer Carter | Nurse Practitioner | 4221 Ridgecrest, Suite 103, Greenville, TX 75402 | 2017-11-16 |
1992127674 | Melissa Johnson | Nurse Practitioner | 401 E 6th St, Odessa, TX 79761-4516 | 2014-01-14 |
1063852341 | Carmen Moreno-low | Nurse Practitioner | 7121 Spid Dr Ste 302, Corpus Christi, TX 78412-4941 | 2013-07-01 |
1699021451 | Marlene Cornelius | Nurse Practitioner | 929 Gessner Rd Ste 2225, Houston, TX 77024-2584 | 2012-07-31 |
1730468588 | Coastal Bend Women's Center | Nurse Practitioner | 7121 Spid Dr Ste 200, Corpus Christi, TX 78412-4940 | 2011-08-11 |
1871803916 | Debra Ann Myers | Nurse Practitioner | 1400 N Zaragoza Rd, Suite B, El Paso, TX 79936-8002 | 2010-10-07 |
1669783346 | Diane Henry | Nurse Practitioner | 3650 W Wheatland Rd Ste A, Dallas, TX 75237-4409 | 2010-06-28 |
1790927754 | Cynthia Elaine Randle | Nurse Practitioner | 10164 Buffalo Grove Rd, Fort Worth, TX 76108-3734 | 2009-04-06 |
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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.