DENISE MICHELE BROADNAX (NPI# 1912108929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912108929 |
| Entity Type | Individual |
| Full Name | DENISE MICHELE BROADNAX |
| Credential | FNP,WHNP |
| Practice Address |
500 Linda Ave Hawthorne NY 10532-1313 |
| Practice Telephone | 9147736700 |
| Mailing Telephone | 9147736700 |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F331927 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
500 LINDA AVE |
| City | HAWTHORNE |
| State | NY |
| Zip Code | 10532-1313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609427988 | Moniefa Meiklejohn | Social Worker | 500 Linda Ave, Hawthorne, NY 10532-1313 | 2019-09-27 |
| 1669022042 | Dominique Charnel Avary | Social Worker | 500 Linda Ave, Hawthorne, NY 10532-1313 | 2019-09-17 |
| 1104470442 | Anabel Giladi | Art Therapist | 500 Linda Ave, Hawthorne, NY 10532-1313 | 2019-07-25 |
| 1992289458 | Daniel Pinter | Student in an Organized Health Care Education/Training Program | 500 Linda Ave, Hawthorne, NY 10532-1313 | 2018-09-20 |
| 1861982712 | Chonna Jihanna Finch | Registered Nurse | 500 Linda Ave, Hawthorne, NY 10532-1313 | 2018-05-16 |
| 1568950145 | Ashby Gaines | Social Worker | 500 Linda Ave, Hawthorne, NY 10532-1313 | 2018-04-29 |
| 1700395910 | Erika Biesemeier | Art Therapist | 500 Linda Ave, Hawthorne, NY 10532 | 2017-09-20 |
| 1306387998 | Diego Bauza | Registered Nurse | 500 Linda Ave, Goldsmith, Hawthorne, NY 10532-1313 | 2017-03-15 |
| 1205376662 | Bettina Vieten | Registered Nurse | 500 Linda Ave, Hawthorne, NY 10532-1313 | 2017-03-06 |
| 1205372513 | Martina Lucille Kerrison | Licensed Practical Nurse | 500 Linda Ave, Hawthorne, NY 10532-1313 | 2017-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447792924 | Avril Dunbar | Registered Nurse | 228-500 Linda Ave, Hawthorne, NY 10532 | 2016-11-15 |
| 1134572704 | Ronald Tomlinson Jr. | Licensed Practical Nurse | 228- 500 Linda Avenue, Hawthorne, NY 10532 | 2016-07-19 |
| 1831566843 | Noble A Thomas | Chiropractor | 153 Broadway Ste 1, Hawthorne, NY 10532 | 2015-08-25 |
| 1790169068 | Sheila Astorino | Case Manager/Care Coordinator | 281 Pythian Avenue, Hawthorne, NY 10532 | 2015-07-16 |
| 1962801381 | Edison Pena | Student in an Organized Health Care Education/Training Program | 2226 Linda Avenue, Hawthorne, NY 10532 | 2014-08-21 |
| 1093029720 | Kathleen B Shaps | Registered Nurse | 226 Linda Avenue, Hawthorne, NY 10532 | 2010-08-05 |
| 1457580839 | Tracey Leah Shannon | Nurse Practitioner | 19 Bradhurst Ave Ste 3850s, Hawthorne, NY 10532 | 2009-07-07 |
| 1033364930 | Aldo Joseph Porco Md | Psychiatry & Neurology | 500 Linda Ave., Hawthorne, NY 10532 | 2008-11-20 |
| 1164675443 | Joanne Mary Bortone | Occupational Therapist | 1 Skyline Drive Suite 298, Kidabilities, Hawthorne, NY 10532 | 2008-10-30 |
| 1306094420 | Jeffrey Scott Anderson | Counselor | 226 Linda Ave., Hawthorne, NY 10532 | 2008-09-03 |
| Find all providers in zip 10532 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386472 | Andries Van Der Meer | Nurse Practitioner | 5 Emeline Dr, Hawthorne, NJ 07506-3061 | 2020-11-08 |
| 1093359192 | Amanda L Stowell | Nurse Practitioner | 4866 W 137th St, Hawthorne, CA 90250-6525 | 2019-10-31 |
| 1467008441 | Elizabeth Temitope Oluwole | Nurse Practitioner | 11823 Chanera Ave, Hawthorne, CA 90250-1825 | 2019-08-14 |
| 1063079234 | Jimmy Cruza | Nurse Practitioner | 2 S Maine Ave Bldg 102-54, Hawthorne, NV 89415-9404 | 2019-05-23 |
| 1033689344 | Gillian Louissaint | Nurse Practitioner | 112 Willow St, Hawthorne, FL 32640-5413 | 2018-11-29 |
| 1164936746 | Harmony Day Payzant | Nurse Practitioner | 13753 Cordary Ave, Hawthorne, CA 90250-7410 | 2017-11-19 |
| 1376056630 | Abiola Orkeh | Nurse Practitioner | 11725 Daleside Ave, Hawthorne, CA 90250-1924 | 2017-11-09 |
| 1548708852 | Christina Sauro | Nurse Practitioner | 7 N 16th St, Hawthorne, NJ 07506-3709 | 2017-02-07 |
| 1497202337 | Francesca Mephors | Nurse Practitioner | 13936 Lemoli Ave, Hawthorne, CA 90250-8854 | 2016-09-08 |
| 1881053593 | Ifeoma Stella Nweke | Nurse Practitioner | 11830 Acacia Ave Apt 1, Hawthorne, CA 90250-3000 | 2016-02-23 |
| Find all providers in HAWTHORNE | ||||
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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.