CLYDENA JEAN BROUGHTON FNP - C NPI 1588979314

NPI Information

  • NPI: 1588979314
  • Provider Name: CLYDENA JEAN BROUGHTON, FNP - C
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4111 1ST AVE STE 3
    NITRO, WV
    ZIP 25143
  • Phone: (304) 755-4797

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NPI Details

Clydena Jean Broughton, FNP - C is a psychiatric/mental health nurse practitioner in Nitro, WV with 15 years of experience. Clydena Jean Broughton, FNP - C NPI is 1588979314. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4111 1ST AVE STE 3
NITRO, WV
ZIP 25143-345
Phone: (304) 755-4797
Fax: (304) 755-4799

The NPI 1588979314 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza (HCPCS:87428)
  • Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS:87426)
  • Automated urinalysis test (HCPCS:81003)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Detection test by immunoassay technique for streptococcus, group a (strep) (HCPCS:87430)
  • Detection test by immunoassay with direct visual observation for influenza virus (HCPCS:87804)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)

The enumeration date for this NPI number is 8/17/2010 and was last updated on 10/16/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyAPRN62736-NP-CWEST VIRGINIANo
2363LF0000XNurse PractitionerFamily0024183957VIRGINIANo
3363LP0808XNurse PractitionerPsychiatric/Mental Health62736WEST VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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