Active NPI
Nancy Broaders
- Mental Health Counselor
- Seattle, WA
National Provider Identifier
1164571113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LW00005040
- Practice address
- 927 N Northlake Way Ste 220
Suite 220
Seattle, WA 98103-8871 - Phone
- (206) 547-7073
- NPI assigned
- Jan 9, 2007
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LW00005040 | WA | Primary |
Addresses
Primary practice location
927 N Northlake Way Ste 220
Suite 220
Seattle, WA 98103-8871
Mailing address
927 N Northlake Way Ste 220
Suite 220
Seattle, WA 98103-8871
Phone (206) 547-7073
Other names 1
- Nancy Broaders
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 |
|---|---|---|---|
| LW00005040 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316649600000",
"number": "1164571113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "927 N NORTHLAKE WAY STE 220",
"address_2": "SUITE 220",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981038871",
"telephone_number": "206-547-7073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "927 N NORTHLAKE WAY STE 220",
"address_2": "SUITE 220",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981038871",
"telephone_number": "206-547-7073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROADERS",
"first_name": "NANCY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-09",
"last_updated": "2011-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LW00005040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NANCY",
"last_name": "BROADERS",
"credential": "M.S.W.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.