AMBER BRODERSEN (NPI# 1992125504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992125504 |
| Entity Type | Individual |
| Full Name | AMBER BRODERSEN |
| Practice Address |
8700 S Kyrene Rd Tempe AZ 85284-2108 |
| Practice Telephone | 4806255959 |
| Mailing Telephone | 4806255959 |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2014-04-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LP049729 | AZ | Nursing Service Providers |
| Street Address |
8700 S KYRENE RD |
| City | TEMPE |
| State | AZ |
| Zip Code | 85284-2108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588632301 | Rita Dransoff | Nurse Practitioner | 8700 S Kyrene Rd, Tempe, AZ 85284-2108 | 2006-03-08 |
| 1568071991 | Cynthia Lynn Hayes | Speech-Language Pathologist | 8700 S Kyrene Rd, Tempe, AZ 85284-2197 | 2020-07-31 |
| 1902450539 | Elizabeth Eaton Stone | Speech-Language Pathologist | 8700 S Kyrene Rd, Tempe, AZ 85284-2108 | 2019-07-31 |
| 1225682909 | Patrice Ann Moritz | Speech-Language Pathologist | 8700 S Kyrene Rd, Tempe, AZ 85284-2108 | 2019-07-30 |
| 1659925923 | Julia Castro | Occupational Therapist | 8700 S Kyrene Rd, Tempe, AZ 85284-2108 | 2019-07-25 |
| 1932673308 | Jessica Alexis Gutierrez Ortiz | Licensed Practical Nurse | 8700 S Kyrene Rd, Tempe, AZ 85284-2197 | 2019-01-17 |
| 1295269165 | Margaret Nero | Registered Nurse | 8700 S Kyrene Rd, Tempe, AZ 85284-2108 | 2017-04-17 |
| 1972035954 | Tara Anastasi | Registered Nurse | 8700 S Kyrene Rd, Tempe, AZ 85284-2108 | 2017-03-30 |
| 1134673395 | Ashley Marie Phelps | Registered Nurse | 8700 S Kyrene Rd, Tempe, AZ 85284-2108 | 2016-08-04 |
| 1306206032 | Nathan Garrett | Student in an Organized Health Care Education/Training Program | 8700 S Kyrene Rd, Tempe, AZ 85284-2108 | 2016-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275187726 | Satbir Khara | Dentist | 2010 E. Elliot Rd. Suite 105, Tempe, AZ 85284 | 2019-08-01 |
| 1093287187 | Tawnie C Caracci | Registered Nurse | 1437 W. Auto Drive, Tempe, AZ 85284 | 2018-12-30 |
| 1932695947 | Angels of Mercy Attendant Care LLC | In Home Supportive Care | 130 W Freda Rd, Tempe, AZ 85284 | 2018-07-03 |
| 1487169009 | Restorative Healing and Counseling Center LLC | Clinic/Center | 9855 S. Priest Drive, Suite 102, Tempe, AZ 85284 | 2017-12-05 |
| 1366964934 | Devoted Guardians Home Health LLC | Home Health | 1705 West Ruby Drive, #107, Tempe, AZ 85284 | 2017-07-14 |
| 1982134565 | Otilia Elizabeth Herrera Jaimes | Specialist/Technologist | 315 W. Elliot Road #107-250, Tempe, AZ 85284 | 2017-06-15 |
| 1982142873 | Tempe Outpatient Treatment Center LLC | Clinic/Center | 1001 E Warner Rd Ste 103, Tempe, AZ 85284 | 2017-02-10 |
| 1386180560 | Jenna Bernal | Registered Nurse | 931 E Elliot Rd Ste 115, Tempe, AZ 85284 | 2017-01-12 |
| 1780084533 | Mirvat Farah | Specialist/Technologist | 341 W El Freda Rd, Tempe, AZ 85284 | 2014-08-29 |
| 1245661503 | Janine L Roberts | Registered Nurse | 2033 E Warner Rd #109, Tempe, AZ 85284 | 2013-12-11 |
| Find all providers in zip 85284 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629505920 | Katrina Marie Hansen | Licensed Practical Nurse | 5737 S Roosevelt St, Tempe, AZ 85283-2739 | 2017-05-17 |
| 1528465721 | Neil Feliciano | Licensed Practical Nurse | 950 S Terrace Rd, 105, Tempe, AZ 85281-3865 | 2014-12-03 |
| 1528486495 | Kathy Smiley | Licensed Practical Nurse | 816 W Laguna Dr, Tempe, AZ 85282-4754 | 2014-03-28 |
| 1154754166 | Simona Dolores Olson | Licensed Practical Nurse | 931 W Diamond Dr, Tempe, AZ 85283-5417 | 2013-08-13 |
| 1831444652 | Palliative Connections Inc. | Licensed Practical Nurse | 2141 East Broadway Drive, Suite 118, Tempe, AZ 85282-1892 | 2012-07-18 |
| 1629226170 | Liaini Vasquez | Licensed Practical Nurse | 4925 S Park Dr, Tempe, AZ 85282-6202 | 2008-09-08 |
| 1003016015 | James Lester | Licensed Practical Nurse | 202 W. Hermosa Dr., Apt D110, Tempe, AZ 85282 | 2007-07-19 |
| 1952521452 | Jennifer Lee Doyle | Licensed Practical Nurse | 1830 E Del Rio Dr, Tempe, AZ 85282-2823 | 2007-04-26 |
| 1174123434 | Shaneekwa Stinnett | Licensed Practical Nurse | 1430 E Baseline Rd, Tempe, AZ 85283-1406 | 2020-10-27 |
| 1396378873 | Adewusi Samson Keshinro | Licensed Practical Nurse | 64 E Broadway Rd Ste 200, Tempe, AZ 85282-1377 | 2020-02-12 |
| Find all providers in TEMPE | ||||
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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.