Active NPI
Judy C Broughton, MN, FNP
- Family Nurse Practitioner
- Danville, VA
National Provider Identifier
1184624207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024139541
- Practice address
- 705 Main St
Danville, VA 24541-1803 - Phone
- (434) 791-3630
- Fax
- (434) 791-4088
- NPI assigned
- Jul 29, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024139541 | VA | Primary |
Addresses
Primary practice location
705 Main St
Danville, VA 24541-1803
Mailing address
4 S Main St
Chatham, VA 24531-5436
Phone (434) 791-3630
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184624207 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Access to Health Services, Inc | Current | Accepting new patients | |
| Piedmont Access to Health Services, Inc | Current | Accepting new patients | |
| Piedmont Access to Health Services, Inc | Current | Accepting new patients |
Locations
4 S Main St
Chatham, VA 24531
Phone (434) 432-4443
705 Main St
Danville, VA 24541
Phone (434) 791-4122
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Danville, VA
- NPI 1649240698
-
- Federally Qualified Health Center (FQHC)
- Danville, VA
- NPI 1114630662
-
- Federally Qualified Health Center (FQHC)
- Martinsville, VA
- NPI 1841323151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383436800000",
"number": "1184624207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 S MAIN ST",
"city": "CHATHAM",
"state": "VA",
"postal_code": "245315436",
"telephone_number": "434-791-3630",
"fax_number": "434-791-4088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 MAIN ST",
"city": "DANVILLE",
"state": "VA",
"postal_code": "245411803",
"telephone_number": "434-791-3630",
"fax_number": "434-791-4088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROUGHTON",
"first_name": "JUDY",
"middle_name": "C",
"name_prefix": "Mrs.",
"credential": "MN, FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-29",
"last_updated": "2013-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024139541",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1184624207",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Danville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.