Tawanda A Broyard, CPT,CPI,CNA

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

License

21-5944 Issued in TX

Practice address

1118 Lady LN
Duncanville, TX 75116-2016

Phone

(469) 245-1648

NPI assigned

Jan 28, 2022

Last updated

Jan 28, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1643328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1164175279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 LADY LN",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751162016",
            "telephone_number": "469-245-1648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 LADY LN",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751162016",
            "telephone_number": "469-245-1648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROYARD",
        "first_name": "TAWANDA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "CPT,CPI,CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-28",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "TX",
            "license": "21-5944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brightstar Healthcare Agency
• Tammy Britton
• Janice Brown, CCC-SLP
• William Alan Brown, D.D.S., F.A.G.D.
• Roderick Charles Brownlow, PTA
• Tiffany Bryson, PTA
• Thomas L Buehler, D.P.M.
• Evelyn Dian Bullard-Allen, MA
• Kerin L Burdette, DDS
• Evelyn Doris Burks, SOLE PROPRIETOR

• Phlebotomy Technician in Duncanville, TX
• Providers in Duncanville, TX by specialty
• Phlebotomy Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; 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.