AMBER NICOLE BRODBECK (NPI# 1013543859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013543859 |
| Entity Type | Individual |
| Full Name | AMBER NICOLE BRODBECK |
| Practice Address |
417 W 3rd Ave Albany GA 31701-1943 |
| Practice Telephone | 2293121000 |
| Practice Fax Number | 2293125130 |
| Mailing Telephone | 2293121000 |
| Mailing Fax Number | 2293125130 |
| Enumeration Date | 2020-03-12 |
| Last Update Date | 2020-03-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WN0002X |
Registered Nurse Specialization: Neonatal Intensive Care |
258304 | GA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902148190 | Amber Brodbeck | Nurse Anesthetist, Certified Registered | 333 N Texas Ave, Webster, TX 77598-4966 | 2013-03-26 |
| Street Address |
417 W 3RD AVE |
| City | ALBANY |
| State | GA |
| Zip Code | 31701-1943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245232503 | Teresa Joy Bohlmeyer | Pathology | 417 W 3rd Ave, Albany, GA 31701-1943 | 2005-06-01 |
| 1861005084 | Brittany Campbell | Nurse Practitioner | 417 W 3rd Ave, Albany, GA 31701-1943 | 2020-08-27 |
| 1528679735 | Ta-tanisha Parks | Nurse Practitioner | 417 W 3rd Ave, Albany, GA 31701-1943 | 2020-08-11 |
| 1225676273 | Jasmine Andrews | Specialist/Technologist | 417 W 3rd Ave, Albany, GA 31701-1943 | 2019-12-19 |
| 1194375543 | Madison Elizabeth Miller | Anesthesiologist Assistant | 417 W 3rd Ave, Albany, GA 31701-1943 | 2019-09-18 |
| 1548816457 | Taylor Leigh Holmes | Nurse Practitioner | 417 W 3rd Ave, Albany, GA 31701-1943 | 2019-08-15 |
| 1689228850 | Christopher Moody | Specialist/Technologist | 417 W 3rd Ave, Albany, GA 31701-1943 | 2019-07-26 |
| 1922651223 | Evans Ngwa Mabo | Nurse Practitioner | 417 W 3rd Ave, Albany, GA 31701-1943 | 2019-07-17 |
| 1144789082 | Joyce Anderson | Home Health | 417 W 3rd Ave, Albany, GA 31701-1943 | 2019-03-19 |
| 1790253185 | Lonnie E Bass | Nurse Anesthetist, Certified Registered | 417 W 3rd Ave, Albany, GA 31701-1943 | 2018-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124678347 | Carehere LLC | Family Medicine | Carehere Clinic- City of Albany, Ga, 2000 North Monroe Street, Albany, GA 31701 | 2019-09-19 |
| 1801450788 | Amy Brock | Nurse Practitioner | 417 4th Avenue, Albany, GA 31701 | 2019-04-26 |
| 1346740131 | Kawana Kesia Mullins | Contractor | 1103 S Davis St, Albany, GA 31701 | 2018-02-19 |
| 1689198558 | Marion Elizabeth Toscano | Counselor | 226 South Jefferson Street, Frederick, MD 31701 | 2017-08-01 |
| 1871014803 | Mann Dental Care LLC | Clinic/Center | 1403 South Slappey Blvd, Albany, GA 31701 | 2017-06-29 |
| 1457716805 | Amanda Banks Thomas | Advanced Practice Midwife | 803 13th Avenue, Albany, GA 31701 | 2015-12-29 |
| 1265805212 | David Lee Berry Jr. | Counselor | 230 South Jackson Street, Suite 228 & 229, Albany, GA 31701 | 2015-11-12 |
| 1750725099 | Charles Jacob Stoudenmire | Pathology | 507 W 3rd Ave Ste 7, Albany, GA 31701 | 2013-04-17 |
| 1700188232 | Wendy Summer Willis | Podiatrist | 531 Seventh Avenue, Albany, GA 31701 | 2010-12-05 |
| 1760615413 | Nicholas L Misulia | Anesthesiology | 417 Third Avenue, Albany, GA 31701 | 2009-08-28 |
| Find all providers in zip 31701 | ||||
| Taxonomy Code | 163WN0002X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Neonatal Intensive Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003421033 | Kelly N Miles | Registered Nurse | 43 New Scotland Ave, Albany, NY 12208-3478 | 2020-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306474275 | Irene Marie Wilkerson | Registered Nurse | 259 Maple St, Hapeville, GA 30354-1205 | 2020-03-27 |
| 1043864580 | Carli A Boatright | Registered Nurse | 4750 Waters Ave Suite 206, Savannah, GA 31404 | 2019-08-01 |
| 1952862641 | Alexis Altolaguirre | Registered Nurse | 3655 Habersham Rd Ne Apt A111, Atlanta, GA 30305-5407 | 2019-03-26 |
| 1518495472 | Angela Marie Shurtleff | Registered Nurse | 8 Lonnie Dr, Richmond Hill, GA 31324-6915 | 2017-05-23 |
| 1174938047 | Rachel Dyches | Registered Nurse | 4245 Johns Creek Pkwy Ste A, Suwanee, GA 30024-9122 | 2014-06-30 |
| 1588096275 | Katherine Leigh Gerlach | Registered Nurse | 2150 Grayfield Dr, Grayson, GA 30017-1387 | 2013-08-05 |
| 1881954295 | Kathryn Mercado | Registered Nurse | 831 Poplar Ter, Canton, GA 30115-1871 | 2012-05-18 |
| 1689219388 | Marina Tarabicos | Registered Nurse | 1001 Johnson Ferry Rd, Atlanta, GA 30342-1605 | 2019-11-18 |
| 1942854070 | Kristen Ortiz | Registered Nurse | 4700 Waters Ave, Savannah, GA 31404-6220 | 2019-07-26 |
| 1720640287 | Jessica Lynn Thomas | Registered Nurse | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2019-07-05 |
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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.