Active NPI
Jane Brossoit
- Licensed Practical Nurse
- Buena Vista, VA
National Provider Identifier
1083078653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN5172735
- Practice address
- 233 Stuartsburg Rd
Buena Vista, VA 24416-4604 - Phone
- (540) 261-5330
- NPI assigned
- Apr 11, 2016
- Last updated
- Apr 11, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN5172735 | FL | Primary |
Addresses
Primary practice location
233 Stuartsburg Rd
Buena Vista, VA 24416-4604
Mailing address
8026 Littledoe CT
Port Richey, FL 34668-2318
Phone (727) 452-6663
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN5172735 | FL | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460332800000",
"number": "1083078653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8026 LITTLEDOE CT",
"city": "PORT RICHEY",
"state": "FL",
"postal_code": "346682318",
"telephone_number": "727-452-6663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "233 STUARTSBURG RD",
"city": "BUENA VISTA",
"state": "VA",
"postal_code": "244164604",
"telephone_number": "540-261-5330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROSSOIT",
"first_name": "JANE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-11",
"last_updated": "2016-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "FL",
"license": "PN5172735",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buena Vista, VA
- Bayada Home Health Care, Inc.
- Paul A Bello, LCPC, LPC
- Candace Berry, LPC
- Blue Ridge Psychotherapy & Consultation Associates, PC
- Brent D. Dryden, DDS,PC
- Buena Vista City Public Schools
- Buena Vista Medical Associates, Inc.
- Buena Vista Rescue Squad Inc
- Margaret A Campbell, DDS
- Carilion Healthcare Corporation (Carilion Clinic Family Medicine)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.