NANCY BRODERICK (NPI# 1851536007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851536007 |
| Entity Type | Individual |
| Full Name | NANCY BRODERICK |
| Credential | MSN, FNP, CWOCN |
| Practice Address |
10240 Park Meadows Drive Lone Tree CO 80124-5425 |
| Practice Telephone | 3033384545 |
| Mailing Telephone | 3033384545 |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2015-12-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
991011 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
18715 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | KAISER COMMERCIAL NUMBER | 024216 | 01 |
| CO | 14283549 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811477995 | Nancy Broderick | Massage Therapist | 74 Pascack Rd Ste 5, Park Ridge, NJ 07656-1941 | 2018-08-17 |
| Street Address |
10240 PARK MEADOWS DRIVE |
| City | LONE TREE |
| State | CO |
| Zip Code | 80124-5425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689065336 | Karen Lussier | Registered Nurse | 10240 Park Meadows Drive, Lone Tree, CO 80124 | 2015-02-16 |
| 1891118634 | Lynn Marie Davis | Registered Nurse | 10240 Park Meadows Drive, Lone Tree, CO 80124-5425 | 2014-01-30 |
| 1801224100 | Kaiser Foundation Health Plan of Colorado | Clinical Medical Laboratory | 10240 Park Meadows Drive, Lone Tree, CO 80124-5425 | 2013-10-23 |
| 1679839948 | Kaiser Foundation Health Plan of Colorado | Clinic/Center | 10240 Park Meadows Drive, Lone Tree, CO 80124 | 2012-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700413788 | Adam Avant | Student in an Organized Health Care Education/Training Program | Sky Ridge Medical Center 10099 Ridgegate Pkwy, Ste 200, Lonetree, CO 80124 | 2020-03-27 |
| 1265069546 | Nikhilesh Srinivasan | Student in an Organized Health Care Education/Training Program | 10099 Ridgegate Parkway, #200, Lone Tree, CO 80124 | 2020-03-25 |
| 1487281200 | Caden Nowak | Student in an Organized Health Care Education/Training Program | 10099 Ridgegate Parkway #200, Lone Tree, CO 80124 | 2020-03-23 |
| 1427618305 | University of Colorado Hospital Authority | Clinic/Center | 9548 Park Meadows Dr, Lone Tree, CO 80124 | 2019-06-13 |
| 1225505746 | Justin Sean Ashurst | Registered Nurse | 10240 Meadows Dr, Lone Tree, CO 80124 | 2018-11-02 |
| 1396257143 | University Physicians, Incorporated | Family Medicine | 9548 Park Meadows Drive, Lone Tree, CO 80124 | 2017-11-02 |
| 1861928236 | Jennifer Kouri | Student in an Organized Health Care Education/Training Program | 10099 Ridgegate Parkway Ste 120, Rvu/sky Ridge Tri Residency, Lone Tree, CO 80124 | 2017-05-04 |
| 1013443787 | Graham Litchman | Surgery | 1099 Ridgegate Parkway, Graduate Medical Education Office Suite 120, Lone Tree, CO 80124 | 2017-05-02 |
| 1609324466 | Amy Lim | Registered Nurse | 10101 Ridge Gate Pkwy, Lone Tree, CO 80124 | 2016-09-21 |
| 1770933251 | Richard Kenyon French Jr. | Optometrist | 8455 Park Meadows Center Blvd, Lenscrafters At Macy's, Littleton, CO 80124 | 2016-06-15 |
| Find all providers in zip 80124 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548776719 | Krista Marie Willmann | Nurse Practitioner | 10103 Ridgegate Pkwy Ste G21, Lone Tree, CO 80124-5524 | 2017-12-23 |
| 1689120347 | Lauren Koob Tomlinson | Nurse Practitioner | 7424 La Quinta Ln, Lone Tree, CO 80124-8976 | 2016-08-31 |
| 1821457284 | Tera Rose | Nurse Practitioner | 9218 Kimmer Dr Ste 207, Lone Tree, CO 80124-6733 | 2016-02-15 |
| 1740537794 | Melissa Gayle Foley | Nurse Practitioner | 10099 Ridgegate Pkwy Ste 400, Lone Tree, CO 80124-5536 | 2012-08-09 |
| 1346567658 | Heather Cody | Nurse Practitioner | 9540 Park Meadows Dr, Lone Tree, CO 80124-2894 | 2010-04-26 |
| 1053969014 | Jurry Om | Nurse Practitioner | 9695 S Yosemite St Ste 324, Lone Tree, CO 80124-2890 | 2019-09-03 |
| 1689034761 | Suzanne Lee Voss | Nurse Practitioner | 10099 Ridgegate Pkwy, Suite 290, Lone Tree, CO 80124-5531 | 2016-03-02 |
| 1366861106 | Lisa Lyn Singer | Nurse Practitioner | 10103 Ridgegate Pkwy, Suite 221, Lone Tree, CO 80124 | 2014-04-09 |
| 1447409297 | Thuan Phan | Nurse Practitioner | 10240 Park Meadows Dr, Lone Tree, CO 80124-5425 | 2008-09-17 |
| 1548447295 | Lynn Kirsten Mason | Nurse Practitioner | 10103 Ridgegate Pkwy, Aspen Building, Suite #g23, Lone Tree, CO 80124-5520 | 2008-01-24 |
| Find all providers in LONE TREE | ||||
Please comment or provide details below to improve the information on NANCY BRODERICK.
| 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.