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CHARLENE SUE BROADDUS ARNP NPI 1780765735


NPI Information

NPI: 1780765735
Provider Name: CHARLENE SUE BROADDUS, ARNP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Organization: CLARK REGIONAL PHYSICIAN PRACTICES LLC

PECOS Registration: Yes

Address:
GILL HEART INSTITUTE 800 ROSE ST
G100
LEXINGTON, KY
ZIP 40536
Phone: (859) 323-0295
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Charlene Sue Broaddus, ARNP is an adult health nurse practitioner in Lexington, KY with 19 years of experience. Charlene Sue Broaddus, ARNP NPI is 1780765735. 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:

GILL HEART INSTITUTE 800 ROSE ST
G100
LEXINGTON, KY
ZIP 40536-093
Phone: (859) 323-0295
Fax: (859) 257-8699

The NPI 1780765735 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.

  • Evaluation, testing and programming adjustment of defibrillator with analysis, review and report (HCPCS:93283)
  • Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report (HCPCS:93280)

The enumeration date for this NPI number is 10/18/2006 and was last updated on 7/20/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LA2200XNurse PractitionerAdult Health4695PKENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17801709200MEDICAIDKENTUCKY
2446026MEDICARE PINKENTUCKY

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.