KATHERINE BROYLES (NPI# 1831542620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831542620 |
| Entity Type | Individual |
| Full Name | KATHERINE BROYLES |
| Credential | NP |
| Practice Address |
1059 N Mount Vernon Ave Colton CA 92324-2500 |
| Practice Telephone | 9094230512 |
| Mailing Telephone | 9094230512 |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2016-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 790215 | CA | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95004936 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1059 N MOUNT VERNON AVE |
| City | COLTON |
| State | CA |
| Zip Code | 92324-2500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739949 | Ava Vascular | Radiology | 1281 W. C. Street, Suite 200, Colton, CA 92324 | 2020-08-06 |
| 1063042851 | Making A Difference Association, Inc. | Psychologist | 1430 E Cooley Drive, Ste 111, Colton, CA 92324 | 2020-01-21 |
| 1326685488 | Allstar Medical Respite and Recuperative Care | Case Management | 450 N Sperry Drive, Colton, CA 92324 | 2019-12-06 |
| 1558916379 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1010 North Pepper Ave, Colton, CA 92324 | 2019-08-08 |
| 1326692633 | Kadi Lyn Pearce | Licensed Practical Nurse | 970 N. Latham St, Colton, CA 92324 | 2019-07-25 |
| 1184281966 | Steven Andrew Cardoza | Physician Assistant | Armc, 400 N. Pepper Ave, Colton, CA 92324 | 2019-05-28 |
| 1528540952 | Daniel Tochukwu Umah-mgborogwu | Physician Assistant | 400 N Pepper Ave, Ste 107, Coton, CA 92324 | 2018-09-01 |
| 1255826038 | Cal Med Vascular Center LLC | Clinic/Center | 1281 W C St, Colton, CA 92324 | 2018-06-25 |
| 1891288072 | A. Arroyo Lourenco Dds, Inc | Dentist | 827 W Valley Blvd., Colton, CA 92324 | 2018-06-12 |
| 1700396165 | Emily Covington | Registered Nurse | 1550 E. Washington St., Ste 101, Colton, CA 92324 | 2017-10-11 |
| Find all providers in zip 92324 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356707889 | Valerie Christine Kaura | Nurse Practitioner | 2048 E Colunga St, Colton, CA 92324-7511 | 2016-01-13 |
| 1851939979 | Delisa Alma Dimpudus | Nurse Practitioner | 1325 E Cooley Dr Ste 101, Colton, CA 92324-3966 | 2019-12-19 |
| 1861034282 | Ali Zamora | Nurse Practitioner | 400 N Pepper Ave, Colton, CA 92324-1801 | 2019-10-17 |
| 1427529874 | Robyn Janine Hampton Woodward | Nurse Practitioner | 400 N Pepper Ave, Colton, CA 92324-1801 | 2018-12-11 |
| 1497265706 | Ana Celia Arenas | Nurse Practitioner | 400 N Pepper Ave, Colton, CA 92324-1801 | 2017-10-02 |
| 1750824058 | Mareena Miller | Nurse Practitioner | 1850 E Washington St, Colton, CA 92324-4621 | 2016-11-18 |
| 1346791761 | Ana Caroline Teles Remigio | Nurse Practitioner | 1003 E Cooley Dr, Suite 209, Colton, CA 92324-3948 | 2016-10-20 |
| 1972052132 | Brenda Jerez-aguilar | Nurse Practitioner | 1300 E Cooley Dr, Colton, CA 92324-3905 | 2016-09-29 |
| 1285989764 | Michael George Marino | Nurse Practitioner | 400 N Pepper Ave, Colton, CA 92324-1801 | 2012-07-19 |
| 1083936660 | Nicole Genevieve Williams | Nurse Practitioner | 400 N Pepper Ave, Colton, CA 92324-1801 | 2010-02-23 |
| Find all providers in COLTON | ||||
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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.