MRS. MARY CATHERINE BROGDON (NPI# 1972792240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972792240 |
| Entity Type | Individual |
| Full Name | MRS. MARY CATHERINE BROGDON |
| Credential | L.P.N |
| Practice Address |
379 Edge Ave Valparaiso FL 32580-1033 |
| Mailing Address |
221 Hospital Dr Ne Fort Walton Beach FL 32548-5066 |
| Practice Telephone | 8508334125 |
| Practice Fax Number | 8508334177 |
| Mailing Telephone | 8508339240 |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2007-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | PN373341 | FL | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528414026 | Mary Grace Brogdon | Social Worker | 1907 Garden Ave, Suite 100, Eugene, OR 97403-1962 | 2016-05-13 |
| Street Address |
379 EDGE AVE |
| City | VALPARAISO |
| State | FL |
| Zip Code | 32580-1033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376902254 | Miriam Rodriguez | Dentist | Ignacio Zaragoza #1015, Col. Salvarcar, Juarez, CHIHUAHUA 32580 | 2016-02-19 |
| 1346334422 | Annette Brabham | Optometrist | 111 N John Sims Pkwy, Valparaiso, FL 32580 | 2006-10-03 |
| 1710920897 | Thaddaeus R Castaneda | Family Medicine | 143 S. John Sims Prkwy, Valparaiso, FL 32580 | 2006-06-14 |
| 1255389938 | Neil Baker Nipper | Family Medicine | 350 Jackson Circle, Valparaiso, FL 32580 | 2006-05-04 |
| 1821608225 | Patrick Conner Sharp | Chiropractor | 127 N John Sims Pkwy Unit B, Valparaiso, FL 32580-1005 | 2020-07-31 |
| 1093769788 | Larissa Nicole Tenzycki | Chiropractor | 127 N John Sims Pkwy Ste B, Valparaiso, FL 32580-1005 | 2006-05-19 |
| 1518590546 | Growing Green Families, Pllc | Chiropractor | 127 N John Sims Pkwy Ste B, Valparaiso, FL 32580-1005 | 2020-02-18 |
| 1255635348 | Annette Brabham Od Pa | Optometrist | 111 N John Sims Pkwy, Valparaiso, FL 32580-1005 | 2011-01-04 |
| 1477853364 | C S Peters Od, Pa | Optometrist | 111 N John Sims Pkwy, Valparaiso, FL 32580-1005 | 2010-10-26 |
| 1902990161 | C S Peters | Optometrist | 111 N John Sims Pkwy, Valparaiso, FL 32580-1005 | 2006-10-03 |
| Find all providers in zip 32580 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003232646 | Rebecca Diane Hurni | Licensed Practical Nurse | 951 Transport Dr, Valparaiso, IN 46383-8434 | 2014-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962175 | Talor Meigs | Licensed Practical Nurse | 870 Mande Ct, Shalimar, FL 32579-2303 | 2020-11-02 |
| 1871192070 | Layata Shaundria Twitty-kiser | Licensed Practical Nurse | 2521 Spring Forest Road, Tallahassee, FL 32301 | 2020-10-20 |
| 1841898657 | Tamesha L Montgomery | Licensed Practical Nurse | 112 Stock Ave, Interlachen, FL 32148-5095 | 2020-10-14 |
| 1346857299 | Ieshia Nesbitt | Licensed Practical Nurse | 9633 Ne 2nd Dr, Wildwood, FL 34785-8440 | 2020-09-24 |
| 1205443207 | Cheryl Elaine Dowdell | Licensed Practical Nurse | 1685 Biscayne Bay Cir, Jacksonville, FL 32218-8671 | 2020-09-24 |
| 1366057796 | Djuana M Carter | Licensed Practical Nurse | 1837 Lake Chapman Dr Unit 202, Brandon, FL 33510-4169 | 2020-09-11 |
| 1881208130 | Myra Louise Peoples | Licensed Practical Nurse | 4473 Se Village Rd, Stuart, FL 34997-8234 | 2020-09-03 |
| 1417560731 | Melanie Reyes | Licensed Practical Nurse | 968 Allendale Rd, West Palm Beach, FL 33405-1346 | 2020-08-26 |
| 1003429788 | Meline St Pierre | Licensed Practical Nurse | 6607 Willow Street, Zellwood, FL 32798 | 2020-08-24 |
| 1427669134 | Phedia Jean Baptiste | Licensed Practical Nurse | 4709 Nw 9th Dr, Plantation, FL 33317-1482 | 2020-08-14 |
| Find all providers with the same taxonomy | ||||
| City | VALPARAISO |
| Zip Code | 32580 |
Please comment or provide details below to improve the information on MRS. MARY CATHERINE BROGDON.
| 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.