DENISE MICHELLE BROOMHALL (NPI# 1376795542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376795542 |
| Entity Type | Individual |
| Full Name | DENISE MICHELLE BROOMHALL |
| Credential | ARNP |
| Practice Address |
10815 Ranch Road 2222 Bldg 3a Austin TX 78730-1159 |
| Mailing Address |
Po Box 844658 Dallas TX 75284-4658 |
| Practice Telephone | 5123274262 |
| Enumeration Date | 2008-10-18 |
| Last Update Date | 2018-04-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | AP124253 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 905 E Whitestone Blvd Ste B, Cedar Park, TX 786139098 | 5129969899 |
| Street Address |
10815 RANCH ROAD 2222 BLDG 3A |
| City | AUSTIN |
| State | TX |
| Zip Code | 78730-1159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457356073 | Marci Ann Roy | Psychiatry & Neurology | 10815 Ranch Road 2222 Bldg 3a, Austin, TX 78730-1159 | 2005-06-20 |
| 1851756589 | Phommalone Mone Nguyen | Nurse Practitioner | 10815 Ranch Road 2222 Bldg 3a, Austin, TX 78730-1159 | 2015-12-23 |
| 1891197240 | Maro Stephanie Andaya | Family Medicine | 10815 Ranch Road 2222 Bldg 3a, Austin, TX 78730-1159 | 2014-09-17 |
| 1306089115 | Bryan Patrick Just | Chiropractor | 10815 Ranch Road 2222 Bldg 3a, Austin, TX 78730-1159 | 2009-04-08 |
| 1952554230 | Andi Dey Faldyn | Physician Assistant | 10815 Ranch Road 2222 Bldg 3a, Austin, TX 78730-1159 | 2008-10-30 |
| 1285628644 | Adam J Zelinski | Chiropractor | 10815 Ranch Road 2222 Bldg 3a, Austin, TX 78730-1159 | 2005-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487295374 | Amaris Nicole Garza | Dietitian, Registered | 10301 Ranch To Market 2222, Apt #738, Austin, TX 78730 | 2019-10-02 |
| 1366093130 | Kotobi & Associates, LLC | In Home Supportive Care | 6101 W Courtyard Drive, Bldg 1, Suite 150, Austin, TX 78730 | 2019-09-24 |
| 1831653955 | Esther Wooten | Nurse Practitioner | 6500 River Place, Suite 102, Austin, TX 78730 | 2019-01-23 |
| 1629336243 | Yuri Alexander Lawrence | Internal Medicine | 7300 Ranch Road 2222, Austin, TX 78730 | 2012-05-02 |
| 1386914612 | Robin Marie Mccray Choban Han | Clinical Nurse Specialist | 6611 River Place Blvd Ste 203, Austin, TX 78730 | 2012-01-03 |
| 1437397106 | Collins Endodontics, PC | Dentist | 7300 Fm 2222, Building V, Suite 212, Austin, TX 78730 | 2009-02-03 |
| 1043471360 | Nadia Abboud Bening | Psychiatry & Neurology | 6611 Riverplace Blvd., Austin, TX 78730 | 2008-06-19 |
| 1740469089 | Healthy Achievers, Inc. | Nursing Care | 6300 Bridgepoint Parkway, Building 3, Suite 500, Austin, TX 78730 | 2007-11-02 |
| 1104948041 | Jack C. Tips | Nutritionist | 9419 Westminster Glen, Austin, TX 78730 | 2007-04-04 |
| 1407970841 | Us Radiology Partners of Texas Inc | Radiology | 3704 Lagood St, Austin, TX 78730 | 2007-03-19 |
| Find all providers in zip 78730 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677612 | Laurel Sunde | Nurse Practitioner | 11111 Research Blvd-ll2, Austin, TX 78759 | 2020-10-20 |
| 1982201281 | Alison Conway | Nurse Practitioner | 2900 S 1st St Apt 123, Austin, TX 78704-6368 | 2020-10-08 |
| 1629680525 | Elizabeth Britt Dufrene | Nurse Practitioner | 8102 Isaac Pryor Dr, Austin, TX 78749-1863 | 2020-08-21 |
| 1679105258 | Karen Troylyn Karnaky | Nurse Practitioner | 806 West Ave, Austin, TX 78701-2208 | 2020-02-11 |
| 1447896071 | Stefanie Van Hoose Mott | Nurse Practitioner | 2800 South Ih 35 Frontage Road #100, Austin, TX 78704 | 2019-11-19 |
| 1457904401 | Megan Grace Berard | Nurse Practitioner | 3801 N Lamar Blvd Suite 300, Austin, TX 78756-4080 | 2019-07-18 |
| 1457825747 | Cecilia Joe Davis | Nurse Practitioner | 3410 Far West Blvd Ste 110, Austin, TX 78731-3187 | 2019-01-20 |
| 1811406192 | Msh Diamondback Health Services LLC | Nurse Practitioner | 16219 Ranch Road 620, Austin, TX 78717 | 2017-09-29 |
| 1023536414 | Alyssa Evens | Nurse Practitioner | 300 E Highland Mall Blvd Ste 1a, Austin, TX 78752-3746 | 2017-09-06 |
| 1710340963 | Kimberly Ellison | Nurse Practitioner | 1400 N. Ih 35; Ste 300, Seton Surgical Group, Austin, TX 78701 | 2016-04-04 |
| Find all providers in AUSTIN | ||||
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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.