Active NPI
Ritchelle Broadnax, DNP,CRNP
- Family Nurse Practitioner
- Montgomery, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-094939
- Practice address
- 5301 Vaughn Rd
Suite 201
Montgomery, AL 36116 - Phone
- (205) 540-0083
- NPI assigned
- Feb 12, 2015
- Last updated
- May 31, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 591806 | CA | |
| Family Nurse Practitioner | 363LF0000X | 1-094939 | AL | Primary |
Addresses
Primary practice location
5301 Vaughn Rd
Suite 201
Montgomery, AL 36116
Mailing address
3066 Zelda Rd # 331
Montgomery, AL 36106-2651
Phone (334) 467-5973
Other practice location 1
520 S Hull St
Montgomery, AL 36104
Phone (334) 834-2920 ext. 5124
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 591806 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern Hospital Medicine PC | Current | Accepting new patients | |
| Riverside-San Bernardino County Indian Health, Inc | Current | Accepting new patients | |
| Curana Health of Alabama LLC | Current | Accepting new patients | |
| Riverside-San Bernardino County Indian Health, Inc. | Current | Accepting new patients | |
| Elemental Living Inc | Family | Current | Accepting new patients |
| Riverside-San Bernardino County Indian Health, Inc | Current | Accepting new patients | |
| Signify Health, LLC | Current | Accepting new patients | |
| Eastern Hospital Medicine PC | Current | Accepting new patients |
Locations
200 Beacon Pkwy W
Birmingham, AL 35209
Phone (205) 677-5036
4000 Eagle Point Corporate Dr
Birmingham, AL 35242
Phone (205) 317-0280
50 Medical Park Dr E
Birmingham, AL 35235
Phone (205) 838-3000
1 Perimeter Park S
Ste 100N
Mountain Brook, AL 35243
Phone (205) 936-2356
11980 Mount Vernon Ave
Grand Terrace, CA 92313
Phone (909) 783-8470
301 Almeria Ave
Ste 240
Coral Gables, FL 33134
Phone (239) 842-6320
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- ritchelle.broadnax.p1@direct.alegiscare.nextgenshare.com
- ritchelle.broadnax.p2@direct.alegiscare.nextgenshare.com
- ritchelle.broadnax@115443077021700.direct.elationemr.com
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Birmingham, AL
- NPI 1144450347
-
- Internal Medicine Physician
- Birmingham, AL
- NPI 1104859123
-
dba San Manuel Indian Health
- Federally Qualified Health Center (FQHC)
- Grand Terrace, CA
- NPI 1174676670
TX
-
dba Broadnax Healthcare
- Family Nurse Practitioner
- Montgomery, AL
- NPI 1750852950
-
- Internal Medicine Physician
- Birmingham, AL
- NPI 1982418141
-
dba Barstow Indian Health
- Federally Qualified Health Center (FQHC)
- Barstow, CA
- NPI 1134621923
-
dba Santa Rosa Indian Health Clinic
- Federally Qualified Health Center (FQHC)
- Mountain Center, CA
- NPI 1366028086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685491200000",
"number": "1033500046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3066 ZELDA RD # 331",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361062651",
"telephone_number": "334-467-5973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5301 VAUGHN RD",
"address_2": "SUITE 201",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "36116",
"telephone_number": "205-540-0083"
}
],
"practiceLocations": [
{
"address_1": "520 S Hull St",
"address_purpose": "LOCATION",
"city": "Montgomery",
"state": "AL",
"postal_code": "36104",
"country_code": "US",
"telephone_number": "334-834-2920 x5124",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROADNAX",
"first_name": "RITCHELLE",
"credential": "DNP,CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-12",
"last_updated": "2023-05-31",
"certification_date": "2023-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "591806",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-094939",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.