CAROLYN ANN BROADNAX (NPI# 1538718770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538718770 |
| Entity Type | Individual |
| Full Name | CAROLYN ANN BROADNAX |
| Practice Address |
3524 Cedar Springs Dr Concord NC 28027 |
| Practice Telephone | 7046522131 |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2019-09-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| Street Address |
3524 CEDAR SPRINGS DR |
| City | CONCORD |
| State | NC |
| Zip Code | 28027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023652252 | Medcare Transport of Nc | Non-emergency Medical Transport (VAN) | 7039 Northwinds Dr Nw, Unit C, Concord, NC 28027 | 2019-10-31 |
| 1447806575 | Claire-ann E Papp | Dentist | 8815 Christenbury Parkway, Suite 40, Concord, NC 28027 | 2019-08-14 |
| 1578120218 | Philip Osborn | Dentist | 5408 Nc-49, Harrisburg, NC 28027 | 2019-05-28 |
| 1639648306 | Kristen Morris Spell | Counselor | 195 Lower Cape Dr Sw Apt 107, Concord, NC 28027 | 2018-11-25 |
| 1568959625 | Laurie Ford | Counselor | 705 Samuel Adams Cir Sw, Concord, NC 28027 | 2018-04-15 |
| 1598278194 | Autumn Nobles | Specialist/Technologist | 10193 Falling Leaf Dr Nw, Concord, NC 28027 | 2017-11-06 |
| 1386192938 | Brundasudha Satti IIi | Physical Therapist | 379 Sutoforest Dr Nw, Concord, NC 28027 | 2016-09-12 |
| 1467809616 | Kathryn Teal Watts | Dentist | 5305345 Vining St Nw, #201, Concord, NC 28027 | 2016-05-18 |
| 1720443849 | Denette Carte | Health Educator | 9712 Ravenscroft Lane Nw, Concord, NC 28027 | 2015-12-16 |
| 1740652064 | Lee Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9636 Evanston Street, Concord, NC 28027 | 2015-10-26 |
| Find all providers in zip 28027 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164037057 | Alan Cairns Bonsall | Technician | 10127 Misty Moss Ct, Mint Hill, NC 28227-8120 | 2020-09-09 |
| 1962010108 | Angel Elliott | Technician | 911 Us Hwy 52 N, New London, NC 28127 | 2020-07-14 |
| 1013535533 | Frankie Bartholomew | Technician | 1802d White Level Rd, Louisburg, NC 27549-8270 | 2020-07-10 |
| 1578186722 | Crystal Jacobs | Technician | 146 Glovers Cross Rd, Colerain, NC 27924-9444 | 2020-05-22 |
| 1497374854 | Brenda Irish | Technician | 270 Winchester Woods Dr, Murphy, NC 28906-6900 | 2020-04-15 |
| 1982231643 | Melody Poole | Technician | 506 Ocean Spray Dr, Cedar Point, NC 28584-9319 | 2020-03-24 |
| 1295366904 | Jessica Knadler | Technician | 132 Windsor Ln, Raeford, NC 28376-8251 | 2020-01-31 |
| 1568093417 | Diana Opiyo | Technician | 9940 Heathergate Ln, Mint Hill, NC 28227-4309 | 2020-01-30 |
| 1184264087 | Amiee Morgan Lara | Technician | 116 Waco Ave, Kannapolis, NC 28083-6364 | 2020-01-09 |
| 1598303752 | Crystal Hunt | Technician | 1941 Westhill Dr, Fayetteville, NC 28304-5256 | 2019-12-18 |
| Find all providers with the same taxonomy | ||||
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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.