Lisa Jean Broughten Monjeau, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

102738 Issued in MN

Practice address

1900 Centracare Circle #1300
Centracare Clinic Health Plaza Pediatric/Adolescent Med
St Cloud, MN 56303-5000

Phone

(320) 229-3610

Fax

(320) 229-3647

NPI assigned

Dec 4, 2006

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 18, 2017.

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508284800000",
    "number": "1033277157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 CENTRACARE CIRCLE #1300",
            "address_2": "CENTRACARE CLINIC HEALTH PLAZA PEDIATRIC/ADOLESCENT MED",
            "city": "ST CLOUD",
            "state": "MN",
            "postal_code": "563035000",
            "telephone_number": "320-229-3610",
            "fax_number": "320-229-3647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 CENTRACARE CIRCLE #1300",
            "address_2": "CENTRACARE CLINIC HEALTH PLAZA PEDIATRIC/ADOLESCENT MED",
            "city": "ST CLOUD",
            "state": "MN",
            "postal_code": "563035000",
            "telephone_number": "320-229-3610",
            "fax_number": "320-229-3647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUGHTEN MONJEAU",
        "first_name": "LISA",
        "middle_name": "JEAN",
        "name_prefix": "Miss",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2017-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MN",
            "license": "102738",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "102738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce W Broman, MD
• Nicole Jenelle Hewitt Broman, P.T.
• Elizabeth Bromenschenkel
• Iris A. Brossard, M.D.
• Rebecca Broste-Garner
• Kathleen Marie Broviak, LPN
• Christa Brown-Switzer, DO
• Aariona Latrice Brown
• Angela Marie Brown, PHARMD
• Angelique Elizabeth Brown, RRT

• All providers in St Cloud, MN
• Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.