CAROL BROOM (NPI# 1841615796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841615796 |
| Entity Type | Individual |
| Full Name | CAROL BROOM |
| Practice Address |
992 E Us Highway 80 Forney TX 75126-8709 |
| Mailing Address |
312 Dowell Rd Rockwall TX 75032-7172 |
| Practice Telephone | 9725522920 |
| Mailing Telephone | 9729487949 |
| Enumeration Date | 2014-03-03 |
| Last Update Date | 2014-03-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
737648 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
992 E US HIGHWAY 80 |
| City | FORNEY |
| State | TX |
| Zip Code | 75126-8709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932301850 | Cory S Rice | Internal Medicine | 992 E Us Highway 80, Suite C, Forney, TX 75126-8709 | 2007-06-04 |
| 1891272019 | Aleena Khan | Dentist | 992 E Us Highway 80, Forney, TX 75126-8709 | 2018-07-20 |
| 1386037836 | William Thomas Wood | Chiropractor | 992 E Us Highway 80, Suite C, Forney, TX 75126-8709 | 2015-03-09 |
| 1861721045 | Medical Family Circle, Pllc | Family Medicine | 992 E Us Highway 80, Suite C, Forney, TX 75126-8709 | 2009-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083215339 | Stuart Frey | Pharmacist | 802 East Us Hwy 80, Forney, Forney, TEXAS 75126 | 2020-11-03 |
| 1689209975 | Steffani Wooley | Counselor | 106 S. Bois D'arc St., Forney, TX 75126 | 2020-03-06 |
| 1578123402 | Carrie Viola Phillips | Clinical Nurse Specialist | 9478 Homestead Ln., Forney, TX 75126 | 2019-06-13 |
| 1801451901 | Interventional Partners LLC | Podiatrist | 124 East Hwy 80, Ste. 104, Forney, TX 75126 | 2019-05-03 |
| 1881164937 | Precision Sports Physical Therapy | Physical Therapist | 757 E Highway 80, Suite 160, Forney, TX 75126 | 2018-12-03 |
| 1336621374 | Grace Nkolika Ilonuba | Registered Nurse | 1518 Wheatley Way, Forney, TX 75126 | 2018-09-06 |
| 1497235691 | Tanya Jean Antonisse-irwin | Speech-Language Pathologist | 1023 Kimbro Drive, Forney, TX 75126 | 2018-08-16 |
| 1912490491 | Rachel Caroline Casebolt | Counselor | 112 S Bois D Arc St, Forney, TX 75126 | 2018-06-11 |
| 1730676735 | Forney Mirror Lake Dentistry Pllc | Clinic/Center | 845 N. Fm 548, Suite 150, Forney, TX 75126 | 2018-04-16 |
| 1316449366 | Don A Hunt-ford Jr. | Day Training, Developmentally Disabled Services | 2016 Angel Way, Forney, TN 75126 | 2018-03-06 |
| Find all providers in zip 75126 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659994945 | Ola Justina Milkowski | Nurse Practitioner | 2006 Childress Dr, Forney, TX 75126-5179 | 2020-05-21 |
| 1811547557 | Judith Chepngetich | Nurse Practitioner | 9015 Woodfern Dr, Forney, TX 75126-1778 | 2019-09-15 |
| 1548819394 | Kimberly Crayton | Nurse Practitioner | 1257 Flamingo Rd, Forney, TX 75126-6936 | 2019-09-04 |
| 1295389690 | Rebecca Kate Mcconnell | Nurse Practitioner | 255 Archer Way, Forney, TX 75126-4205 | 2019-07-25 |
| 1306301734 | Tolulope Dawotola | Nurse Practitioner | 2105 Pecan Ridge Dr, Forney, TX 75126-4071 | 2019-02-11 |
| 1356821748 | Christi Edwards | Nurse Practitioner | 1530 Vista Ridge Dr, Forney, TX 75126-6258 | 2018-08-15 |
| 1881226157 | Kelsey Krabacher | Nurse Practitioner | 763 E Us Highway 80 Ste 100, Forney, TX 75126-8675 | 2020-02-05 |
| 1548728561 | Jennifer Tripp Nwaorgu | Nurse Practitioner | 763 E Us Highway 80 Ste 100, Forney, TX 75126-8675 | 2019-03-08 |
| 1689149973 | Crystal Chivon Thomas | Nurse Practitioner | 763 E Us Highway 80 Ste 100, Forney, TX 75126-8675 | 2018-10-12 |
| 1073038881 | Ashley Milby | Nurse Practitioner | 763 E Us Highway 80 Ste 100, Forney, TX 75126-8675 | 2017-08-14 |
| Find all providers in FORNEY | ||||
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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.