Julie Katherine Broadway-Spinner, PMHNP, RN-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

403214 Issued in NY

Practice address

916 Pacific St Apt 3
Brooklyn, NY 11238-3190

Phone

(347) 420-9191

NPI assigned

Aug 22, 2020

Last updated

Sep 16, 2020By 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 2

Addresses

Other names 1

• Katherine Broadway Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1598054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1205448958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 PACIFIC ST APT 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112383190",
            "telephone_number": "347-420-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 PACIFIC ST APT 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112383190",
            "telephone_number": "347-420-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROADWAY-SPINNER",
        "first_name": "JULIE",
        "middle_name": "KATHERINE",
        "credential": "PMHNP, RN-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-22",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "674182",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "403214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "BROADWAY",
            "credential": "PMHNP, RN-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Broadway Dental Arts PC
• Broadway Dental Health Boutique,P.C.
• Broadway Family Dental P.C.
• Broadway Pharmacy Inc (Wyckoff Drugs)
• Broadway RX LLC (Broadway Pharmacy)
• Kayla Jane Broady, LMSW
• Jessica Brobbey, NURSE
• Yaw O Brobbey
• Brocha Soloff
• Emily Anne Brock, LCSW

• Psychiatric/Mental Health Nurse Practitioner in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.