BROADWAY SENIOR CENTER (NPI# 1043283369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043283369 |
| Entity Type | Organization |
| Organization Name | BROADWAY SENIOR CENTER |
| Practice Address |
2027 N Broadway St Knoxville TN 37917-5808 |
| Practice Telephone | 8655228922 |
| Mailing Telephone | 8655228922 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BRENDA ELLIS (PRIVACY OFFICER) |
| Authorized Official Telephone | 8655492121 |
| Authorized Official Credential | RHIT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
2027 N BROADWAY ST |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37917-5808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629008412 | Deborah Webster | Social Worker | 2027 N Broadway St, Knoxville, TN 37917-5808 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033601786 | Angela Marie Barnett | Licensed Practical Nurse | 201 W Springdale Ave # 203, Knoxville, TN 37917 | 2018-05-30 |
| 1790283588 | Kevin Johnson | Case Manager/Care Coordinator | 201 W. Springfield Ave, Knoxville, TN 37917 | 2018-01-26 |
| 1871011437 | Sara Portwood | Registered Nurse | 140 Dameron Ave., Knoxville, TN 37917 | 2017-09-05 |
| 1962926295 | Dara Steele | Counselor | 201 West Springdale, Knoxville, TN 37917 | 2017-07-28 |
| 1043740657 | Stacy Banks | Counselor | 201 West Springdale Ave., Knoxville, TN 37917 | 2017-06-15 |
| 1861921215 | Amy J Mccowan | Registered Nurse | 201 W. Springdale Ave., Knoxville, TN 37917 | 2017-06-08 |
| 1942756523 | Skyler Daegan Winkler | Counselor | 201 West Springvale Avenue, Knoxville, TN 37917 | 2016-09-01 |
| 1821454216 | Beth Cannon | Case Manager/Care Coordinator | 201 West Sprindale Ave, Knoxville, TN 37917 | 2016-01-14 |
| 1760874986 | Sierra Brooke Finley | Case Manager/Care Coordinator | 201 W. Springdale Ave, Knoxville, TENNESSEE 37917 | 2015-02-25 |
| 1568860377 | Megumi Takayama Maynard | Family Medicine | 900 E. Oak Hill Avenue, Knoxville, TN 37917 | 2014-12-10 |
| Find all providers in zip 37917 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013469725 | Foreveryoung Wellness | Clinic/Center | 5816 Kingston Pike Ste 1, Knoxville, TN 37919-6341 | 2016-10-28 |
| 1992183156 | Behavioral Wellness Centers Pllc | Clinic/Center | 109 Peteson Road, Knoxville, TN 37934-4619 | 2015-05-08 |
| 1306283437 | Micah's Medical Massage | Clinic/Center | 2721 Asbury Rd, Knoxville, TN 37914-6441 | 2013-05-30 |
| 1699068494 | Mercy Primary Care West | Clinic/Center | 10810 Parkside Dr Ste G11, Knoxville, TN 37934-1979 | 2011-05-26 |
| 1093940215 | Geratric Assesment Program | Clinic/Center | Baptist Medical Tower, Blount Aveunue, Suite 650, Knoxville, TN 37920-1632 | 2009-05-18 |
| 1215101829 | Baptist Primary and Senior Care-cherry Street | Clinic/Center | 710 N Cherry St, Knoxville, TN 37914-5254 | 2008-04-15 |
| 1043432511 | Professional Drivers Medical Depots | Clinic/Center | 13060 Palestine Lane, Knoxville, TN 37934 | 2007-05-03 |
| 1104971936 | Occupational Health Systems, Inc | Clinic/Center | 9135 Middlebrook Pike, Knoxville, TN 37923-1425 | 2007-01-24 |
| 1841200177 | Lisa Ross Birth and Womens Center | Clinic/Center | 1925-b Ailor Avenue, Knoxville, TN 37921 | 2006-08-09 |
| 1013980341 | Norwood Senior Center | Clinic/Center | 5541 Clinton Hwy, Knoxville, TN 37912-3475 | 2006-02-08 |
| Find all providers in KNOXVILLE | ||||
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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.