Debra Rita Broering, NP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

COA.15468-NP Issued in OH

Practice address

6800 Rockside Rd
Unit a
Independence, OH 44131-2383

Phone

(216) 328-9191

NPI assigned

Nov 12, 2014

Last updated

Nov 12, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Debra Rita Rosengarten Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Lca-Vision Inc

  • Ophthalmologic Surgery Clinic/Center
  • Independence, OH
  • NPI 1376697540
  NPD (past)

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

{
    "created_epoch": "1415750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415750400000",
    "number": "1154727568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7840 MONTGOMERY RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452364301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 ROCKSIDE RD",
            "address_2": "UNIT A",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312383",
            "telephone_number": "216-328-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROERING",
        "first_name": "DEBRA",
        "middle_name": "RITA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-12",
        "last_updated": "2014-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "COA.15468-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "ROSENGARTEN",
            "middle_name": "RITA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alexa Brink
• Michelle Briscoe-Johnson
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• Sandra Marie Britt
• Susan Michelle Brock, NP
• William E Brosky, DDS
• Kelsey Marie Brua, CNP
• Allison Elizabeth Bruce
• Derrick Bruggeman
• Caroline Brun

• Acute Care Nurse Practitioner in Independence, OH
• Providers in Independence, OH by specialty
• Acute Care Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; 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.