EMMA BROADBENT (NPI# 1578929071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578929071 |
| Entity Type | Individual |
| Full Name | EMMA BROADBENT |
| Credential | PNP-C |
| Practice Address |
14811 San Pedro Ave San Antonio TX 78232-3708 |
| Mailing Address |
3066 E Commerce St San Antonio TX 78220-1013 |
| Practice Telephone | 2102337000 |
| Practice Fax Number | 2104942353 |
| Mailing Telephone | 2102337062 |
| Mailing Fax Number | 2104341704 |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2016-02-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
AP129379 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
14811 SAN PEDRO AVE |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78232-3708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093731606 | Maria Magdalena Tiamson-beato | Pediatrics | 14811 San Pedro Ave, San Antonio, TX 78232-3708 | 2006-07-15 |
| 1457700049 | Jose Quijada | Student in an Organized Health Care Education/Training Program | 14811 San Pedro Ave, San Antonio, TX 78232 | 2016-06-06 |
| 1205201142 | Barrio Comprehensive Family Health Care Center,inc | Clinic/Center | 14811 San Pedro Ave, San Antonio, TX 78232-3708 | 2015-12-03 |
| 1073951935 | Denise Carol De La Rosa | Nurse Practitioner | 14811 San Pedro Ave, San Antonio, TX 78232-3708 | 2013-06-12 |
| 1033456074 | Gail Frances Silber | Pediatrics | 14811 San Pedro Ave, San Antonio, TX 78232-3708 | 2013-01-10 |
| 1609004241 | K. Christopher Mcmains Md, Pa | Otolaryngology | 14811 San Pedro Ave, San Antonio, TX 78232-3708 | 2009-06-22 |
| 1649346362 | Pact-pediatric Associates At Clock Tower, LLC | Pediatrics | 14811 San Pedro Ave, San Antonio, TX 78232-3708 | 2006-11-27 |
| 1306916499 | Lydia R Lopez | Psychiatry & Neurology | 14811 San Pedro Ave, San Antonio, TX 78232-3708 | 2006-11-08 |
| 1972602993 | Diane A Mcmains | Pediatrics | 14811 San Pedro Ave, San Antonio, TX 78232-3708 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371334 | Rachelle Renee Morales | Counselor | 620 W Afton Oaks Blvd, San Antonio, TX 78232 | 2019-11-25 |
| 1508328360 | Ruene Anne Villalobos | Licensed Vocational Nurse | North Loop 1604 E #350, San Antonio, TX 78232 | 2019-04-02 |
| 1063908671 | Steven C. Albright Dds, Pa | Oral & Maxillofacial Surgery | 15600 San Pedro Ave Ste 107, San Antonio, TX 78232 | 2018-07-06 |
| 1437666583 | Jennifer Harris | Physician Assistant | 1380 Pantheon Way Ste 310, San Antonio, TX 78232 | 2018-01-10 |
| 1003334616 | Third Space Counseling and Consultation, Pllc | Counselor | 1380 Pantheon Way Suite 245, San Antonio, TX 78232 | 2017-09-03 |
| 1336678135 | Gregory Arellanes | Specialist/Technologist, Other | 1141 N Loop 1604 E #105-612, San Antonio, TX 78232 | 2017-06-06 |
| 1528437811 | Jonathan Hodge | Specialist/Technologist, Other | 1141 E Loop 1604, Suite 105, San Antonio, TX 78232 | 2015-09-17 |
| 1356726376 | Shawn Grubbs | Spec/Tech, Cardiovascular | 16620 Us Hwy 281n, Suite 300, San Antonio, TX 78232 | 2015-07-21 |
| 1336522051 | Comprehensive Neuromonitoring Pllc | Psychiatry & Neurology | 1411 N Loop 1064 E 105-612, San Antonio, TX 78232 | 2015-06-30 |
| 1841690526 | Janet Porter | Registered Nurse | 15909 San Pedro Ave Ste 204, San Antonio, TX 78232 | 2014-08-29 |
| Find all providers in zip 78232 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629308 | Megan Marie Burson | Nurse Practitioner | 9002 Culebra Rd Unit 100, San Antonio, TX 78251-2873 | 2020-11-04 |
| 1346849817 | Abbie Leigh Collins | Nurse Practitioner | 4499 Medical Dr Ste 289, San Antonio, TX 78229-3712 | 2020-10-25 |
| 1982238317 | Belinda Dixon | Nurse Practitioner | 3422 Krie Highlands, San Antonio, TX 78245-1678 | 2020-02-25 |
| 1316580327 | Traci Dee Ulibarri | Nurse Practitioner | 431 Centro Hermosa, San Antonio, TX 78245-1298 | 2019-10-22 |
| 1912471012 | Sarah Alba | Nurse Practitioner | 9002 Culebra Rd # 100, San Antonio, TX 78251-2873 | 2019-01-11 |
| 1285105536 | Lizbeth Barba | Nurse Practitioner | 20642 Stone Oak Pkwy Ste 105, San Antonio, TX 78258-7363 | 2018-12-16 |
| 1427526839 | Christina Ferris | Nurse Practitioner | 7323 Marbach Rd Ste 107, San Antonio, TX 78227-1907 | 2018-11-05 |
| 1902309511 | Lauren R Carter Rohrer | Nurse Practitioner | 4522 Fredericksburg Rd Ste A11, San Antonio, TX 78201-6509 | 2018-03-10 |
| 1619426053 | Erica Annotti | Nurse Practitioner | 903 W Martin St Fl 6, San Antonio, TX 78207 | 2016-09-27 |
| 1669837720 | Rebekah Randall | Nurse Practitioner | 21195 W Ih 10 Ste 2101, San Antonio, TX 78257-1675 | 2015-12-16 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78232 |
Please comment or provide details below to improve the information on EMMA BROADBENT.
| 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.