WENDY BROADWATER (NPI# 1710425947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710425947 |
| Entity Type | Individual |
| Full Name | WENDY BROADWATER |
| Credential | RN-BC |
| Practice Address |
12503 Willowbrook Rd Cumberland MD 21502-2554 |
| Practice Telephone | 3017595280 |
| Mailing Telephone | 3017595280 |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2019-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
R224007 | MD | Nursing Service Providers |
| Street Address |
12503 WILLOWBROOK RD |
| City | CUMBERLAND |
| State | MD |
| Zip Code | 21502-2554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639293228 | Allegany County Health Department | Clinic/Center | 12503 Willowbrook Rd, Cumberland, MD 21502-2554 | 2007-03-19 |
| 1295391803 | Noelle Wilt | Counselor | 12503 Willowbrook Rd, Cumberland, MD 21502-2554 | 2019-05-20 |
| 1578094306 | Lue Lease | Counselor | 12503 Willowbrook Rd, Cumberland, MD 21502-2554 | 2017-03-23 |
| 1861923690 | Jason Hensel | Counselor | 12503 Willowbrook Rd, Cumberland, MD 21502-2554 | 2017-03-23 |
| 1508397399 | Jennifer Harbaugh | Counselor | 12503 Willowbrook Rd, Cumberland, MD 21502-2554 | 2017-03-23 |
| 1942731740 | Craig Brookley | Counselor | 12503 Willowbrook Rd, Cumberland, MD 21502-2554 | 2017-03-23 |
| 1366973158 | Becki Clark | Counselor | 12503 Willowbrook Rd, Cumberland, MD 21502-2554 | 2017-03-23 |
| 1699206425 | Amanda Oliverio | Counselor | 12503 Willowbrook Rd, Cumberland, MD 21502-2554 | 2017-03-23 |
| 1013455799 | Rebecca Meyers | Counselor | 12503 Willowbrook Rd, Cumberland, MD 21502-2554 | 2017-02-02 |
| 1104362557 | Eric Davis | Counselor | 12503 Willowbrook Rd, Cumberland, MD 21502-2554 | 2017-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174141592 | Upmc Western Maryland Corporation | Clinic/Center | 10700 Leslie Lane, Cumberland, MD 21502 | 2020-07-13 |
| 1669934212 | Ultimate Hearing Solutions Vi, LLC | Durable Medical Equipment & Medical Supplies | 701 Park Street, Queen City Centre, Cumberland, MD 21502 | 2019-04-03 |
| 1114497070 | Dianne Liller | Speech-Language Pathologist | 200 Massachusetts Ave, Cumberland, MD 21502 | 2018-12-04 |
| 1386111409 | Rebecca Anne Stewart | Counselor | 217 Glenn Street, Suite 401, Cumberland, MD 21502 | 2018-10-26 |
| 1396222998 | Crystal Lynne Walls | Nurse Practitioner | Western Maryland Health System, 12500 Willowbrook Rd, Cumberland, MD 21502 | 2018-07-26 |
| 1841796554 | Joan Kathleen Hoban | Speech-Language Pathologist | Potomac Behavioral and Occupational Therapy, 240 Henderson Ave., Cumberland, MD 21502 | 2018-04-02 |
| 1760984447 | Christine T. Haines | Social Worker | 907 Seton Drive, Cumberland, MD 21502 | 2018-03-08 |
| 1033632328 | Nicole Mabury | Counselor | 12501 Willowbrook Road, Cumberland, MD 21502 | 2017-07-19 |
| 1073042479 | The Lions Center for Rehabilitation and Extended Care, Inc. | Skilled Nursing Facility | 901 Seton Drive, Cumberland, MD 21502 | 2017-06-08 |
| 1912446816 | Marina Hurst | Counselor | 10102 County Club Road Se, Cumberland, MD 21502 | 2017-02-13 |
| Find all providers in zip 21502 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942849484 | Jay Mitchell Jevne | Registered Nurse | 1110 7th Ave, Cumberland, WI 54829-9138 | 2020-01-02 |
| 1972989465 | Alice Schartiger | Registered Nurse | 12503 Willowbrook Rd, Cumberland, MD 21502-2554 | 2015-08-06 |
| 1225375660 | Jennifer K Mogle | Registered Nurse | 12503 Willowbrook Rd, Cumberland, MD 21502-2554 | 2013-01-04 |
| 1104189646 | Patricia J Squires | Registered Nurse | 12503 Willowbrook Rd, Cumberland, MD 21502-2554 | 2012-06-20 |
| 1407117096 | Joseph A Rowan | Registered Nurse | 12503 Willowbrook Rd, Cumberland, MD 21502-2554 | 2012-05-31 |
| 1982965570 | Beth Speir | Registered Nurse | 12503 Willowbrook Rd, Cumberland, MD 21502-2554 | 2012-05-31 |
| 1083975676 | Antoinette D Baughman | Registered Nurse | 12503 Willowbrook Rd, Cumberland, MD 21502-2554 | 2012-05-31 |
| 1356602957 | Deborah S Ickes | Registered Nurse | 12503 Willowbrook Rd, Cumberland, MD 21502-2554 | 2012-05-31 |
| 1053574012 | Donna Jean Schellhase | Registered Nurse | 900 Seton Dr, 2nd Floor, Cumberland, MD 21502-1854 | 2008-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169936 | Mutiat O. Popoola | Registered Nurse | 15518 Kennett Square Way, Brandywine, MD 20613-6239 | 2020-09-21 |
| 1740805613 | Nwamaka F Ezike | Registered Nurse | 913 Lake Shore Dr, Bowie, MD 20721-2902 | 2020-06-16 |
| 1578185369 | Marion Johnson | Registered Nurse | 9633 Clocktower Ln, Columbia, MD 21046-1877 | 2020-05-14 |
| 1245868009 | Shantiah Shanee Norfleet | Registered Nurse | 7681 Colonial Beach Rd, Pasadena, MD 21122-3206 | 2020-03-28 |
| 1710514542 | Gladys Mbah Nebafu | Registered Nurse | 6100 Glenn Dale Rd, Glenn Dale, MD 20769-9211 | 2020-03-23 |
| 1679107478 | Ellen Dieujuste | Registered Nurse | 3719 34th St, Mount Rainier, MD 20712-2149 | 2020-03-02 |
| 1194364588 | Cynthia Ekwutife | Registered Nurse | 2504 Highcrest Ct, Manchester, MD 21102-1413 | 2020-01-02 |
| 1770128712 | Keith J Reilley | Registered Nurse | 101 W Read St Unit B03, Baltimore, MD 21201-4906 | 2019-11-13 |
| 1497390702 | Revision Wellness, LLC | Registered Nurse | 103 Williamsport Cir Ste A, Salisbury, MD 21804-6472 | 2019-11-11 |
| 1396390167 | Linh Van Register | Registered Nurse | 5223 Ilchester Rd, Ellicott City, MD 21043-7041 | 2019-08-07 |
| Find all providers with the same taxonomy | ||||
| City | CUMBERLAND |
| Zip Code | 21502 |
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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.