CHARLENE SUE BROADDUS (NPI# 1780765735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780765735 |
| Entity Type | Individual |
| Full Name | CHARLENE SUE BROADDUS |
| Credential | ARNP |
| Practice Address |
Gill Heart Institute 800 Rose St G100 Lexington KY 40536-0093 |
| Mailing Address |
225 Hospital Dr Ste 300a Winchester KY 40391-7604 |
| Practice Telephone | 8593230295 |
| Practice Fax Number | 8592578699 |
| Mailing Telephone | 8593233976 |
| Mailing Fax Number | 8592576060 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2016-07-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
4695P | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7801709200 | 05 |
| Street Address |
GILL HEART INSTITUTE 800 ROSE ST G100 |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40536-0093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144268871 | Maya E Guglin | Internal Medicine | Gill Heart Institute 800 Rose St, G100, Lexington, KY 40536-0294 | 2006-06-03 |
| 1548695851 | Mary Melissa Czarapata | Nurse Practitioner | Gill Heart Institute 800 Rose St, G100, Lexington, KY 40536-0093 | 2013-09-05 |
| 1245464148 | John Rohland Kotter | Internal Medicine | Gill Heart Institute 800 Rose St, G100, Lexington, KY 40536-0093 | 2009-05-06 |
| 1770773665 | Sarah S. Rugg | Internal Medicine | Gill Heart Institute 800 Rose St, G100, Lexington, KY 40536-0093 | 2007-07-27 |
| 1114127354 | Yousef Darrat | Internal Medicine | Gill Heart Institute 800 Rose St, G100, Lexington, KY 40536-0200 | 2007-07-24 |
| 1215148234 | Navin Rajagopalan | Internal Medicine | Gill Heart Institute 800 Rose St, G100, Lexington, KY 40536-0093 | 2007-05-24 |
| 1265504518 | Vincent L Sorrell | Internal Medicine | Gill Heart Institute 800 Rose St, G100, Lexington, KY 40536-0093 | 2006-11-14 |
| 1720176076 | Paul Anaya | Internal Medicine | Gill Heart Institute 800 Rose St, G100, Lexington, KY 40536-0093 | 2006-10-11 |
| 1659383289 | Adrian Werner Messerli | Internal Medicine | Gill Heart Institute 800 Rose St, G100, Lexington, KY 40536-0200 | 2006-08-12 |
| 1184635138 | Craig Alan Chasen | Internal Medicine | Gill Heart Institute 800 Rose St, G100, Lexington, KY 40536-0093 | 2006-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790394583 | Mary Luz Calderon | Physician Assistant | Uk Pediatric Neonatology, 800 Rose St 4th Fl, Lexington, KY 40536 | 2020-07-28 |
| 1598389421 | Storm Bryant Dutton | Physician Assistant | Uk Emergency Department - Chandler, 1000 S Limestone, Lexington, KY 40536 | 2020-06-06 |
| 1720601545 | Tyler Allen Pape | Physician Assistant | Uk Surgery Clinic - General, 740 S Limestone Ste L104, Lexington, KY 40536 | 2020-05-27 |
| 1417579269 | Kacy Clinkenbeard | Physician Assistant | Uk Healthcare-icu, 800 Rose St, Lexington, KY 40536 | 2020-05-15 |
| 1023578804 | William Chalmers Ruffin | Student in an Organized Health Care Education/Training Program | 740 South Limestone St. E300e, Lexington, KY 40536 | 2019-03-20 |
| 1942705728 | Karah Lee Ellen Brown | Dentist | 800 Rose Street, Room D-508, Lexington, KY 40536 | 2018-03-26 |
| 1982109708 | Khader Samir Habash | Dentist | 740 S Limestone Room A262, Lexington, KY 40536 | 2018-03-25 |
| 1609370683 | Casey Michael Fitzgerald | Otolaryngology | 740 South Limestone Ears Nose and Throat Clinic, Lexington, KY 40536 | 2018-03-22 |
| 1538663992 | Heather Oaks | Nurse Practitioner | Uk Gill Heart Institute 800 Rose St, Lexington, KY 40536 | 2018-03-21 |
| 1396268223 | Prasanna Kumar Gangishetti | Pediatrics | 800 Rose St Rm No Mn-118, Lexington, KY 40536 | 2017-07-23 |
| Find all providers in zip 40536 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528526084 | Cheryl Renee Partridge | Nurse Practitioner | 16161 Moffat Rd., Lexington, OK 73051 | 2019-03-04 |
| 1912447616 | Jessica Wilson | Nurse Practitioner | 740 S Limestone J401, Lexington, KY 40536-0001 | 2017-02-28 |
| 1841652088 | Stephanie Hopkins Millhouse | Nurse Practitioner | 123 Bruin Dr, Lexington, SC 29073-6820 | 2016-03-27 |
| 1922446210 | Lauren Mackenzie Williams | Nurse Practitioner | 1718 Alexandria Dr Ste 101, Lexington, KY 40504-3161 | 2013-06-07 |
| 1275533572 | Cynthia A Miller | Nurse Practitioner | 104 W Medical Park Dr, Lexington, NC 27292-6773 | 2005-07-28 |
| 1508422288 | Natalie Gwyn Evett | Nurse Practitioner | 1351 Newtown Pike Bldg 1, Lexington, KY 40511-1277 | 2019-05-17 |
| 1093267577 | High Rock Internal Medicine | Nurse Practitioner | 104 W Medical Park Dr, Lexington, NC 27292-6773 | 2016-10-31 |
| 1245693704 | Lauren Davis | Nurse Practitioner | Uk Division of Cardiology, 900 S. Limestone, Lexington, KY 40536-0200 | 2016-04-01 |
| 1710394564 | Jessica Sandler | Nurse Practitioner | 2312 Alexandria Dr, Lexington, KY 40504-3229 | 2014-07-14 |
| 1730520388 | Mitzi Dignos Williams | Nurse Practitioner | 9486 Highway 412 W, Lexington, TN 38351-5713 | 2013-07-11 |
| Find all providers in LEXINGTON | ||||
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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.