AMANDA BROOMHALL (NPI# 1962018101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962018101 |
| Entity Type | Individual |
| Full Name | AMANDA BROOMHALL |
| Credential | FNP |
| Practice Address |
1925 S Aw Grimes Blvd Round Rock TX 78664-7459 |
| Practice Telephone | 5123101900 |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2020-09-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1014431 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1925 S AW GRIMES BLVD |
| City | ROUND ROCK |
| State | TX |
| Zip Code | 78664-7459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710526900 | Yan Wei Chan | Acupuncturist | 894 Summit St. Suite 109, Round Rock, TX 78664 | 2020-01-06 |
| 1285139030 | Coffee Rx LLC | Pharmacy | 106 S Mays St Ste 100, Round Rock, TX 78664 | 2018-03-26 |
| 1508369224 | Daniel Bernard Hall | Nurse Practitioner | 1700 East Palm Valley Blvd, Roundrock, TX 78664 | 2018-03-09 |
| 1407361561 | Double Creek Assisted Living Lp | Assisted Living Facility | 3200 Louis Henna Blvd., Round Rock, TX 78664 | 2017-12-11 |
| 1396254694 | Gezahgne T Bogale | Driver | 1908 Huxley Ln, Round Rock, TX 78664 | 2017-09-29 |
| 1942728563 | Kathryn Dufresne | Massage Therapist | 896 Summit Street Suite 104b, Round Rock, TX 78664 | 2017-09-04 |
| 1699213686 | I&r Health Services | Case Management | 2501 Louis Henna Blvd Apt 914, Round Rock, TX 78664 | 2017-02-09 |
| 1588018394 | The Heidi Group | Family Medicine | 894 Summit St Ste 108, Round Rock, TX 78664 | 2016-04-18 |
| 1902264963 | Round Rock Emergency Physicians | Clinic/Center | 1925 Aw Grimes Blvd, Round Rock, TX 78664 | 2016-02-05 |
| 1508230137 | Michael Fuentes | Community Health Worker | 117-b Louis Henna Blvd, Ste. 200, Round Rock, TX 78664 | 2015-11-19 |
| Find all providers in zip 78664 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181919 | Natalya Olegovna Fironova | Nurse Practitioner | 2912 Portulaca Dr, Round Rock, TX 78681-2450 | 2020-10-10 |
| 1336746825 | Catherine Munica | Nurse Practitioner | 3712 Cap Rock Trl, Round Rock, TX 78681-2372 | 2020-10-07 |
| 1841807203 | Noelia Yesenia Solis Ramirez | Nurse Practitioner | 3702 Birdhouse Dr, Round Rock, TX 78665-1136 | 2020-09-29 |
| 1629684055 | Sarah Compton | Nurse Practitioner | 2100 Red Oak Cir, Round Rock, TX 78681-2216 | 2020-09-21 |
| 1265048730 | Mini Paiyappally Thomas | Nurse Practitioner | 2528 Mirasol Loop, Round Rock, TX 78681-2458 | 2020-09-21 |
| 1760098776 | Elma Peacock | Nurse Practitioner | 6058 Almelo Dr, Round Rock, TX 78681-5539 | 2020-09-16 |
| 1568076024 | Roger Fisher | Nurse Practitioner | 401 Teravista Pkwy Apt 918, Round Rock, TX 78665-1298 | 2020-09-02 |
| 1629688494 | Ashlee Lane Bates | Nurse Practitioner | 3705 Holden Ct, Round Rock, TX 78665-1233 | 2020-08-05 |
| 1407474935 | Roula Balani | Nurse Practitioner | 600 Round Rock West Dr Ste 20, Round Rock, TX 78681-5007 | 2020-07-10 |
| 1861028771 | Tracia Miller | Nurse Practitioner | 1985 Canyon Sage Path, Round Rock, TX 78665-1265 | 2020-03-23 |
| Find all providers in ROUND ROCK | ||||
| City | ROUND ROCK |
| Zip Code | 78664 |
Please comment or provide details below to improve the information on AMANDA BROOMHALL.
| 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.