MRS. BETTINA L BROUGHTON (NPI# 1831401314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831401314 |
| Entity Type | Individual |
| Full Name | MRS. BETTINA L BROUGHTON |
| Credential | NP |
| Practice Address |
2615 Culver Rd 100 Rochester NY 14609-1716 |
| Mailing Address |
2615 Culver Rd Rochester NY 14609-1716 |
| Practice Telephone | 5853365320 |
| Practice Fax Number | 5856971598 |
| Mailing Telephone | 5853365320 |
| Mailing Fax Number | 5856971598 |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2019-11-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | F430512-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
430512 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03271890 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 220 Linden Oaks Ste 100, Rochester, NY 146252839 | 5852482019 | 5855861755 |
| Street Address |
2615 CULVER RD 100 |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14609-1716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548299316 | Michelle P Cilento | Urology | 2615 Culver Rd, Rochester, NY 14609-1716 | 2006-07-02 |
| 1114169372 | Anees Ahmed Fazili | Urology | 2615 Culver Rd, Rochester, NY 14609-1716 | 2009-04-01 |
| 1558533604 | Jennifer J Calnon | Dentist | 2615 Culver Rd, Suite 200, Rochester, NY 14609-1716 | 2008-03-28 |
| 1609926435 | Catherine W Ng | Dentist | 2615 Culver Rd, Suite 200, Rochester, NY 14609-1746 | 2007-01-12 |
| 1700899176 | Kenneth Ralph Ronzo | Dentist | 2615 Culver Rd, Suite #200, Rochester, NY 14609-1746 | 2006-08-15 |
| 1235140252 | Rochester Urology Group, Pllc | Specialist | 2615 Culver Rd, Suite 100, Rochester, NY 14609-1746 | 2006-08-11 |
| 1689699704 | Abraham A Glazer | Urology | 2615 Culver Rd, Suite 100, Rochester, NY 14609-1746 | 2006-07-12 |
| 1417972605 | Paul L Dimarco | Urology | 2615 Culver Rd, Suite 100, Rochester, NY 14609-1746 | 2006-07-12 |
| 1588689772 | Louis H. Eichel | Urology | 2615 Culver Rd, Suite 100, Rochester, NY 14609-1746 | 2006-07-12 |
| 1043235138 | John R Valvo | Urology | 2615 Culver Rd, Suite 100, Rochester, NY 14609-1746 | 2006-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154928828 | Aundrea Camille Williams | Licensed Practical Nurse | 99 Meaodw Circle, Rochester, NY 14609 | 2020-10-06 |
| 1043836869 | Sharon Ann Reilly | Registered Nurse | 910 North Goodman Street, Suite 1, Rochester, NY 14609 | 2020-06-17 |
| 1235655671 | Tameka Shaunte Parker | Licensed Practical Nurse | 35 Village Way, Rochester, NY 14609 | 2017-08-17 |
| 1851817472 | Mary Ann Dukes | Registered Nurse | 75 Yates Street, Rochester, NY 14609 | 2017-08-15 |
| 1023533064 | Fernando Caumont | Urology | 2615 Culver Rd Ste 100, Rochester, NY 14609 | 2017-08-10 |
| 1083061162 | Teyanee Latavia Harewood | Registered Nurse | 418 Hayward Ave, Rochester, NY 14609 | 2016-05-19 |
| 1164853891 | Sukhminder Kaur Sahansra | Internal Medicine | 335 North Park Drive, Elderone, Rochester, NY 14609 | 2013-12-05 |
| 1952749863 | Nada Jadrovska | Registered Nurse | 79 Eagle Rock Dr, Rochester, NY 14609 | 2013-06-13 |
| 1457602930 | Lynnetta Maria Hollomon | Licensed Practical Nurse | 827 Edgecreek Trail, Rochester, NY 14609 | 2012-09-25 |
| 1568711596 | Anthony L. Jordan Health Corporation | Clinic/Center | 151 Parsells Ave, Jordan Health At Community Place, Rochester, NY 14609 | 2012-09-06 |
| Find all providers in zip 14609 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548820954 | Jacqueline Michalko | Nurse Practitioner | 601 Elmwood Ave # 619-736, Rochester, NY 14642-0001 | 2019-06-18 |
| 1306331459 | Lindsay Ann Watkins | Nurse Practitioner | 601 Elmwood Ave Unit 716, Rochester, NY 14642-0002 | 2018-06-29 |
| 1588064083 | Brittany A Swift | Nurse Practitioner | 32 Keswick Rd, Rochester, NY 14609-3309 | 2014-09-03 |
| 1891091575 | Rebecca Tucker | Nurse Practitioner | 610 Elmwood Ave, Rochester, NY 14642 | 2011-01-28 |
| 1669567871 | Maureen Walden | Nurse Practitioner | 11 Whitehall Road, Rochester, NH 03867-3297 | 2006-10-04 |
| 1700970225 | Joanne Vandevalk Clements | Nurse Practitioner | 601 Elmwood Ave, Box 604, Preadmission Evaluation Center, Rochester, NY 14642 | 2006-10-02 |
| 1891803177 | Kristine Elisabeth Miller | Nurse Practitioner | 1600 Chili Ave, Ste 200, Rochester, NY 14624 | 2006-08-28 |
| 1619083292 | Darby Leyden | Nurse Practitioner | 601 Elmwood Ave # 619-10, Rochester, NY 14642-0001 | 2006-08-23 |
| 1184676322 | Theresa M Domagola | Nurse Practitioner | 101 Canal Landing Blvd, Suite 8, Rochester, NY 14626-5109 | 2006-05-16 |
| 1861497182 | Krista L. Prinzi | Nurse Practitioner | 2365 Clinton Ave S, Rochester, NY 14618-2663 | 2005-06-14 |
| Find all providers in ROCHESTER | ||||
Please comment or provide details below to improve the information on MRS. BETTINA L BROUGHTON.
| 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.