Individual provider Active NPI

McKenzie Broadway, FNP-BC

  • Family Nurse Practitioner
  • Franklin, TN
National Provider Identifier
1093673238
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4051627 Issued in KY
Practice address
120 Ridgewood Rd
Franklin, TN 37064-5254
Phone
(615) 585-9098
Fax
(615) 585-9098
NPI assigned
Jan 15, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4051627 KY Primary

Addresses

Primary practice location

120 Ridgewood Rd
Franklin, TN 37064-5254

Mailing address

120 Ridgewood Rd
Franklin, TN 37064-5254

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN, TN3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20260406001435 KY Practitioner - Nurse Practitioner 5698240877 Reassigns benefits to 2 organizations
I20260415002952 IN Practitioner - Nurse Practitioner 5698240877 Reassigns benefits to 1 organization
I20260609004450 TN Practitioner - Nurse Practitioner 5698240877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kiosk Medicine Kentucky LLCGroup PAC ID 6002887510, 169 clinicians
Little Clinic of in LLCGroup PAC ID 7719118447, 66 clinicians

Practice addresses (Care Compare)

3039 Breckenridge LN
Louisville, KY 40220-2101
Phone (502) 451-4555

815 Highlander Point Dr
Floyds Knobs, IN 47119-9470
Phone (812) 923-7146

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4051627KYMDFamily Nurse Practitioner

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1768435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1093673238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 RIDGEWOOD RD",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370645254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 RIDGEWOOD RD",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370645254",
            "telephone_number": "615-585-9098",
            "fax_number": "615-585-9098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROADWAY",
        "first_name": "MCKENZIE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-15",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4051627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

Verify at the official NPI Registry.