Natashia Broadnax, PMHNP-BC, FNP-C

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

5008817 Issued in NC

Practice address

952 Golf House Rd W Ste Ina
Whitsett, NC 27377-9286

Phone

(336) 383-9988

NPI assigned

Aug 31, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: natashia.broadnax.1@29076.direct.athenahealth.com

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.

• Broader Possibilities Clinical Services PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Whitsett, NC
  • NPI 1912751652
  NPD Authorized official

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1164978920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 CLIFFVIEW CT",
            "city": "MC LEANSVILLE",
            "state": "NC",
            "postal_code": "273016900",
            "telephone_number": "336-383-9988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "952 GOLF HOUSE RD W STE INA",
            "city": "WHITSETT",
            "state": "NC",
            "postal_code": "273779286",
            "telephone_number": "336-383-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROADNAX",
        "first_name": "NATASHIA",
        "credential": "PMHNP-BC, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-31",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5008817",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5008817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Elizabeth Bedsole, M.D.
• James Best, MS, LAT, ATC, CES
• Melissa Blanco, DDS
• Nahosi Katongo Bowa, M.D.
• Broader Possibilities Clinical Services PLLC
• Brown Family Medical Mobile Services
• Emily Buckley, LCMHCA, MS
• Bulakowski Optometry PLLC
• Neill James Bulakowski, O.D.
• James Matt Cable

• Psychiatric/Mental Health Nurse Practitioner in Whitsett, NC
• Providers in Whitsett, NC by specialty
• Psychiatric/Mental Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; 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.