RITCHELLE BROADNAX (NPI# 1033500046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033500046 |
| Entity Type | Individual |
| Full Name | RITCHELLE BROADNAX |
| Credential | DNP,CRNP |
| Practice Address |
520 S Hull St Montgomery AL 36104 |
| Mailing Address |
3066 Zelda Rd # 331 Montgomery AL 36106-2651 |
| Practice Telephone | 3348342920 |
| Mailing Telephone | 3344675973 |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2019-05-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
591806 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-094939 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 520 S Hull St, Montgomery, AL 36104 | 3348342920 |
| Street Address |
520 S HULL ST |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942207113 | Capitol Hill Healthcare Center, Inc | Skilled Nursing Facility | 520 S Hull St, Montgomery, AL 36104-4610 | 2005-07-04 |
| 1407472160 | Melissa Shea Harville | Physical Therapy Assistant | 520 S Hull St, Montgomery, AL 36104-4610 | 2020-06-18 |
| 1518590322 | Olivia Harris | Physical Therapy Assistant | 520 S Hull St, Montgomery, AL 36104-4610 | 2020-02-20 |
| 1386275436 | Tysharon Suttles | Physical Therapy Assistant | 520 S Hull St, Montgomery, AL 36104-4683 | 2020-01-28 |
| 1679104772 | Katie Ellen Clements | Occupational Therapy Assistant | 520 S Hull St, Montgomery, AL 36104-4610 | 2020-01-28 |
| 1770113003 | Lisa Deloach Hoffpauir | Occupational Therapist | 520 S Hull St, Montgomery, AL 36104-4610 | 2020-01-26 |
| 1053941427 | Jayne Sinclair | Physical Therapy Assistant | 520 S Hull St, Montgomery, AL 36104-4610 | 2020-01-24 |
| 1083244339 | Sharon Michelle Reed | Occupational Therapist | 520 S Hull St, Montgomery, AL 36104-4610 | 2020-01-24 |
| 1457981995 | Daniel Joseph Miller | Physical Therapy Assistant | 520 S Hull St, Montgomery, AL 36104-4610 | 2020-01-23 |
| 1215567821 | Courtney Jessica Pickney | Occupational Therapist | 520 S Hull St, Montgomery, AL 36104-4610 | 2020-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518597707 | Henley Counseling LLC | Counselor | 445 Dexter Avenue, Suite 4050, Montgomery, AL 36104 | 2020-01-16 |
| 1164994489 | Cornwall Transportation LLC | Non-emergency Medical Transport (VAN) | 2 N Jackston St #605, Montgomery, AL 36104 | 2018-12-27 |
| 1093237661 | Dianna Delane Havard | Speech-Language Pathologist | 602 South Lawrence Street, Montgomery, AL 36104 | 2017-07-14 |
| 1992149884 | Marshall Eye Care | Optometrist | 241 N Court St Apt H, Montgomery, AL 36104 | 2013-04-22 |
| 1689923237 | Beryl Sabb | Counselor | 321 North Hull Street, Montgomery, AL 36104 | 2012-08-29 |
| 1033478318 | William Foster | Social Worker | 207 Montgomery Street, Suite 313, Montgomery, AL 36104 | 2012-05-08 |
| 1972877363 | William Alex Ward | Driver | 906 South Perry Street, Suite 103, Montgomery, AL 36104 | 2012-03-02 |
| 1356669915 | Seib Pharmacy | Pharmacy | 101 South Union Street, Montgomery, AL 36104 | 2010-05-06 |
| 1376797282 | Joseph Anthony Mangini | Family Medicine | 300 S Hull St, Montgomery, AL 36104 | 2008-11-05 |
| 1154572840 | State of Alabama Department of Public Health | Public Health or Welfare | 201 Monroe Street, Suite 1080, Montgomery, AL 36104 | 2008-10-01 |
| Find all providers in zip 36104 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184240285 | Miranda Michelle Roach | Nurse Practitioner | 11907 Candlewood Pl, Montgomery, TX 77356-5427 | 2020-06-24 |
| 1508416611 | Casey Thornton | Nurse Practitioner | 370 Saint Lukes Dr, Montgomery, AL 36117-7111 | 2019-09-19 |
| 1558917047 | Brittany Ann Smith | Nurse Practitioner | 1722 Pine St Ste 904, Montgomery, AL 36106-1104 | 2019-08-12 |
| 1952956567 | Cassandra Aileen Kelley | Nurse Practitioner | 1722 Pine St Ste 401, Montgomery, AL 36106-1103 | 2019-08-09 |
| 1982264867 | Bethany Fain Phelps | Nurse Practitioner | 1722 Pine St Ste 402, Montgomery, AL 36106-1159 | 2019-06-13 |
| 1447813027 | Haley Harvey Clifton | Nurse Practitioner | 1758 Park Pl Ste 401, Montgomery, AL 36106-1135 | 2019-04-18 |
| 1861958241 | Tameka Lene' Myles | Nurse Practitioner | 2905 East South Boulevard, Montgomery, AL 36116 | 2019-02-11 |
| 1780162024 | Grace Santana | Nurse Practitioner | 3270 Gatsby Ln, Montgomery, AL 36106-2668 | 2018-07-30 |
| 1013494673 | Angela K Rayborn | Nurse Practitioner | 1725 W 4th St # Na, Montgomery, AL 36106-1509 | 2018-07-25 |
| 1942795430 | Richard Yullambo Yenkong | Nurse Practitioner | 2270 Jericho Rd Apt A5, Montgomery, IL 60538-5621 | 2018-06-27 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36104 |
Please comment or provide details below to improve the information on RITCHELLE BROADNAX.
| 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.