ROBBI LEA BROADHEAD (NPI# 1992238067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992238067 |
Entity Type | Individual |
Full Name | ROBBI LEA BROADHEAD |
Credential | R.N. |
Practice Address |
2103 13th St Meridian MS 39301-4045 |
Mailing Address |
429 Pinehurst Dr Meridian MS 39305-9188 |
Practice Telephone | 6014823275 |
Mailing Telephone | 6016165152 |
Enumeration Date | 2017-04-06 |
Last Update Date | 2017-04-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WA2000X |
Registered Nurse Specialization: Administrator |
R858055 | MS | Nursing Service Providers |
Street Address |
2103 13TH ST |
City | MERIDIAN |
State | MS |
Zip Code | 39301-4045 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669410288 | Jackson Vamc | Clinic/Center | 2103 13th St, Meridian, MS 39301-4045 | 2006-06-04 |
1952795502 | Kathryn Lee Fleming | Nurse Practitioner | 2103 13th St, Meridian, MS 39301-4045 | 2015-03-21 |
1336261239 | Deritha Marbory Barber | Social Worker | 2103 13th St, Meridian, MS 39301-4045 | 2007-04-04 |
1578587523 | Gayle Hamilton | Nurse Practitioner | 2103 13th St, Meridian, MS 39301-4045 | 2006-07-26 |
1194743336 | Deborah Jean Schultz | Internal Medicine | 2103 13th St, Meridian, MS 39301-4045 | 2006-07-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407460439 | Kayla Lee Monsour | Pharmacist | 1415 24th Avenue, Meridian, MS 39301 | 2020-09-08 |
1306478359 | K&r Optical Solutions Corporation | Eyewear Supplier (Equipment, not the service) | 3126 8th St., Suite A, Meridian, MS 39301 | 2020-02-07 |
1912537317 | Courtney M Hollie | Counselor | 1054 Ms-19, Meridian, MS 39301 | 2020-01-24 |
1932636495 | Rcg Mississippi, Inc. | Clinic/Center | 1300 38th Ave E, Meridian, MS 39301 | 2017-05-16 |
1811428915 | Tierria Mcglothin | Nurse Practitioner | 1054 Highway 19 S, Meridian, MS 39301 | 2017-03-21 |
1154869303 | Lindsay Nemanich | Physical Therapist | 3716 Ms-39, Meridian, MS 39301 | 2017-02-08 |
1700323599 | Wal-mart Stores East Lp | Pharmacy | 3310-a Highway 39 North, Meridian, MS 39301 | 2017-01-31 |
1972977460 | Southeast Pharmacy LLC | Pharmacy | 2402 Long Creek Road, Meridian, MS 39301 | 2015-11-20 |
1235508342 | East Mississippi Oral & Facial Surgery, LLC | Clinic/Center | 1212 24th Avenue, Meridian, MS 39301 | 2015-09-18 |
1831580778 | Clarkdale Pharmacy and Gifts LLC | Pharmacy | 6935c Hwy 145, Meridian, MS 39301 | 2015-02-13 |
Find all providers in zip 39301 |
Taxonomy Code | 163WA2000X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Administrator |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194357202 | Lawanda L Kirkland | Registered Nurse | 298 Commerce Park Dr Ste D, Ridgeland, MS 39157-2237 | 2020-02-06 |
1447719695 | Acumen Medical, LLC | Registered Nurse | 6436 Palmetto Pointe Dr, Ocean Springs, MS 39564-8823 | 2019-03-18 |
1689184491 | Valarie Phillips | Registered Nurse | 292 Pickens Cir, Carthage, MS 39051-7982 | 2017-10-06 |
1437509312 | Manervia Lee | Registered Nurse | 1058 Ridgewood Pl Ste G, Jackson, MS 39211-2002 | 2016-06-21 |
1992191084 | Emmanuel Ridge of Dekalb Inc | Registered Nurse | 14632 Hwy 39n/16e, Dekalb, MS 39328 | 2015-04-15 |
1871903849 | Russell Carter | Registered Nurse | 201 Independence Ste 219, Columbus, MS 39710-5300 | 2014-04-30 |
1144579400 | Mary D Darby-mclaurin | Registered Nurse | 39 Kimberley Dr, Laurel, MS 39440-2184 | 2012-09-02 |
1225645575 | Lenora Keys | Registered Nurse | 199 Charmant Pl Ste 3b, Ridgeland, MS 39157-4358 | 2020-09-29 |
1699147033 | Erik Waller | Registered Nurse | 231 Methodist Blvd, Hattiesburg, MS 39402-1297 | 2015-10-26 |
1497144265 | Emmanuel Ridge of Louisville Ms Inc | Registered Nurse | 803 W Main St, Louisville, MS 39339-2539 | 2015-01-16 |
Find all providers with the same taxonomy |
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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.