BEVERLY BROOME (NPI# 1942551122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942551122 |
| Entity Type | Individual |
| Full Name | BEVERLY BROOME |
| Credential | ARNP |
| Practice Address |
1451 El Camino Real The Villages FL 32159-0041 |
| Mailing Address |
1501 Nw 49th St Ste 140 Fort Lauderdale FL 33309-3723 |
| Practice Telephone | 9547146341 |
| Practice Fax Number | 9547146343 |
| Mailing Telephone | 9547146341 |
| Mailing Fax Number | 9547146343 |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2012-09-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9251885 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1451 EL CAMINO REAL |
| City | THE VILLAGES |
| State | FL |
| Zip Code | 32159-0041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356346514 | Lora Lee Thaxton | Physical Medicine & Rehabilitation | 1451 El Camino Real, The Villages, FL 32159 | 2005-06-15 |
| 1972139822 | Sandra Ullian Pelton | Pharmacist | 1451 El Camino Real, The Villages, FL 32159-0041 | 2020-03-22 |
| 1659918837 | Stephanie Deianne Keen | Nurse Practitioner | 1451 El Camino Real, The Villages, FL 32159-0041 | 2019-12-05 |
| 1881156610 | Lora Graham | Occupational Therapist | 1451 El Camino Real, The Villages, FL 32159-0041 | 2019-04-01 |
| 1457820920 | Randall L Braddom Md LLC | Physical Medicine & Rehabilitation | 1451 El Camino Real, The Villages, FL 32159-0041 | 2018-11-14 |
| 1831682285 | Magalie J Alcinord | Nurse Practitioner | 1451 El Camino Real, The Villages, FL 32159-0041 | 2018-06-11 |
| 1831649227 | Villages Tri-county Medical Center Inc. | Psychiatry & Neurology | 1451 El Camino Real, The Villages, FL 32159-0041 | 2016-10-10 |
| 1275902124 | Villages Tri-county Medical Center Inc. | Rehabilitation Hospital | 1451 El Camino Real, The Villages, FL 32159-0041 | 2015-09-22 |
| 1316349939 | Brian Reinhartz | Nurse Practitioner | 1451 El Camino Real, The Villages, FL 32159-0041 | 2014-09-26 |
| 1285970541 | Heather Rose Schweizer | Family Medicine | 1451 El Camino Real, The Villages, FL 32159-0041 | 2012-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306451216 | Lindsey Porubcan | Physician Assistant | 990 South Us Highway 441/27, Lady Lake, FL 32159 | 2020-09-09 |
| 1073134979 | Michael Robert Frates | Dietitian, Registered | 900 Cr 466, Lady Lake, FL 32159 | 2020-05-01 |
| 1346800364 | Barbara Conrad | Social Worker | 906 Orchid Street, Lady Lake, FL 32159 | 2019-06-20 |
| 1962977165 | Curelogics Wound Care and Hyperbaric LLC | Registered Nurse | 809 County Road 466, Unit C-201, Lady Lake, FL 32159 | 2018-10-04 |
| 1346736907 | Caroline Butler | Physician Assistant | 805 E. Cr 466, Lady Lake, FL 32159 | 2018-07-06 |
| 1033609607 | Cyrus Immanuel Macalisang Doroy | Physical Therapist | 6340 County Rd 466, Suite 733, Lady Lake, FL 32159 | 2018-05-18 |
| 1962999680 | Sharma Institute of Pain Medicine | Physical Medicine & Rehabilitation | 1501 Us Hwy 441, Villages, FL 32159 | 2018-04-18 |
| 1538683198 | Cathleen Laurel Civiello | Psychologist | 929 H. Hwy 441, Suite 404, Lady Lake, FL 32159 | 2017-07-26 |
| 1649709015 | Adria Young | Optometrist | 801 Cr 466, Suite 102 Sunset Plaza, Lady Lake, FL 32159 | 2017-06-08 |
| 1891222527 | Center for Hope and Healing, LLC | Social Worker | 804 Hwy 466, Lady Lake, FL 32159 | 2017-05-12 |
| Find all providers in zip 32159 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740796200 | Vanessa Walantus | Nurse Practitioner | 1400 N Us Highway 441 Ste 902, The Villages, FL 32159-6811 | 2017-12-20 |
| 1942725098 | Chelsy Kay Fazio | Nurse Practitioner | 910 Old Camp Rd Ste 112, The Villages, FL 32162-5605 | 2017-08-10 |
| 1619497112 | Lindsey Gagnon | Nurse Practitioner | 11950 County Road 101 Ste 203, The Villages, FL 32162-9334 | 2017-06-26 |
| 1245652817 | Angela Mastracchio Kelly-shelby | Nurse Practitioner | 627 Quinby Way, The Villages, FL 32162-8698 | 2014-01-15 |
| 1508181850 | Scott Moran | Nurse Practitioner | 1670 Long Loop, The Villages, FL 32163-2863 | 2010-03-30 |
| 1710930649 | Lori R Esarey | Nurse Practitioner | 1585 Santa Barbara Blvd., Ste B, The Villages, FL 32159 | 2006-05-19 |
| 1497749519 | Jeffery Jerome Mcneil | Nurse Practitioner | 1050 Old Camp Rd Ste 100, The Villages, FL 32162-1762 | 2005-09-02 |
| 1275141954 | Samantha Johnson | Nurse Practitioner | 1050 Old Camp Rd Ste 100, The Villages, FL 32162-1762 | 2020-07-17 |
| 1275151227 | Vickie Hodges | Nurse Practitioner | 8491 Se 165th Mulberry Ln, The Villages, FL 32162-5847 | 2020-07-07 |
| 1790322873 | Amber Giese | Nurse Practitioner | 1580 Santa Barbara Blvd, The Villages, FL 32159-6827 | 2019-12-08 |
| Find all providers in THE VILLAGES | ||||
| City | THE VILLAGES |
| Zip Code | 32159 |
Please comment or provide details below to improve the information on BEVERLY BROOME.
| 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.