KIMBERLY ANN BROADNAX (NPI# 1144883349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144883349 |
| Entity Type | Individual |
| Full Name | KIMBERLY ANN BROADNAX |
| Practice Address |
6400 E Broad St Ste 400 Columbus OH 43213-2979 |
| Practice Telephone | 6146553345 |
| Mailing Telephone | 6146553345 |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2019-04-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 899 E Broad St, Columbus, OH 432051156 | 6146553345 |
| Street Address |
6400 E BROAD ST STE 400 |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43213-2979 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083073159 | Rachelle Sharman Butcher | Case Manager/Care Coordinator | 6400 E Broad St Ste 400, Columbus, OH 43213-1505 | 2016-02-18 |
| 1871115550 | David M. Heeter | Case Manager/Care Coordinator | 6400 E Broad St Ste 400, Columbus, OH 43213-2979 | 2020-05-15 |
| 1245852912 | Christopher R. Perdue | Case Manager/Care Coordinator | 6400 E Broad St Ste 400, Columbus, OH 43213-2979 | 2020-05-15 |
| 1508488271 | Frances Weiss | Case Manager/Care Coordinator | 6400 E Broad St Ste 400, Columbus, OH 43213-2979 | 2020-05-15 |
| 1619599388 | Harmon Harris | Case Manager/Care Coordinator | 6400 E Broad St Ste 400, Columbus, OH 43213-2979 | 2020-05-15 |
| 1528680295 | Dakota Culver | Case Manager/Care Coordinator | 6400 E Broad St Ste 400, Columbus, OH 43213-2979 | 2020-05-15 |
| 1891317566 | Courtney P. Martin | Counselor | 6400 E Broad St Ste 400, Columbus, OH 43213-2979 | 2020-05-15 |
| 1124668603 | Keith Andrea Jenkins Jr. | Case Manager/Care Coordinator | 6400 E Broad St Ste 400, Columbus, OH 43213-2979 | 2020-01-13 |
| 1063975829 | Appechha Neupane | Social Worker | 6400 E Broad St Ste 400, Columbus, OH 43213-2979 | 2019-04-09 |
| 1083187611 | Fatoumata Binta Sow | Case Manager/Care Coordinator | 6400 E Broad St Ste 400, Columbus, OH 43213-2979 | 2019-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952917973 | Complete Care for Women | Obstetrics & Gynecology | 99 North Brice Rd, Suite 320, Columbus, OH 43213 | 2020-09-16 |
| 1255963708 | Icare Health & Wellness Medical Center, LLC | Counselor | 3242 E Main St, 2nd Floor, Columbus, OH 43213 | 2020-02-12 |
| 1588133011 | Robert Acheampong-imbeah | Case Manager/Care Coordinator | 3616 Eastwood Park, Whitehall, OH 43213 | 2018-11-14 |
| 1174017248 | Faatimah Sabir | Case Manager/Care Coordinator | 3616 East Main Street, Whitehall, OH 43213 | 2018-06-21 |
| 1639663123 | Reachcare Pharmacy Services LLC | Pharmacy | 4513 E Main St, Columbus, OH 43213 | 2018-06-18 |
| 1245729516 | Dominique Oswalt | Case Manager/Care Coordinator | 4111 Elbern Ave, Whitehall, OH 43213 | 2018-05-02 |
| 1326540865 | Jmkennedy LLC Magnum Np | Nursing Care | 6365 Plankton Dr, Columbus, OH 43213 | 2018-03-01 |
| 1477051647 | Inner Health Chiropractic North, LLC | Chiropractor | Inner Health Chiropractic, 3321 East Broad Street, Columbus, OH 43213 | 2018-01-23 |
| 1902319213 | Mary H Taylor | Massage Therapist | 6100 E. Main St., Suite 110, Columbus, OH 43213 | 2017-11-08 |
| 1407384548 | Lashaunta R Davidson | Licensed Practical Nurse | 4040 E. Broad Street, Whitehall, OH 43213 | 2017-06-02 |
| Find all providers in zip 43213 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528775 | Trinka Louise Glenn | Case Manager/Care Coordinator | 6400 E Broad St # F14, Columbus, OH 43213-2086 | 2020-11-02 |
| 1164022182 | George Atta Owusu | Case Manager/Care Coordinator | 407 Lemery Dr, Columbus, OH 43213-4482 | 2020-10-28 |
| 1669070280 | Abu Daniel Kamara | Case Manager/Care Coordinator | 2935 E Main St 9721, Columbus, OH 43209 | 2020-10-15 |
| 1346857513 | Claire Dawson | Case Manager/Care Coordinator | 2546 Billingsley Road, Columbus, OH 43235-1976 | 2020-09-30 |
| 1952918484 | Andrea Y Daniel | Case Manager/Care Coordinator | 6040 Walters Loop, Columbus, GA 31907-5368 | 2020-09-29 |
| 1962027839 | Julius A Michael | Case Manager/Care Coordinator | 1966 Hampstead Dr, Columbus, OH 43229-2714 | 2020-06-16 |
| 1912528035 | Deshaun Brown | Case Manager/Care Coordinator | 6470 Cove Creek Ct, Columbus, GA 31909-3400 | 2020-04-29 |
| 1467072074 | Medforall | Case Manager/Care Coordinator | 1500 W 3rd Ave Ste 111, Columbus, OH 43212-2890 | 2020-04-23 |
| 1366071763 | Tianna S Roberts | Case Manager/Care Coordinator | 1111 Mediterranean Ave, Columbus, OH 43229-2509 | 2020-04-07 |
| 1871127720 | Areil Mackenzie | Case Manager/Care Coordinator | 2921 Parkside Rd, Columbus, OH 43204-2543 | 2020-03-01 |
| Find all providers in COLUMBUS | ||||
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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.