Amanda Broadway, RNFA

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

R866035 Issued in MS

Practice address

1007 Jefferson St
Laurel, MS 39440-4350

Phone

(601) 649-7802

Fax

(601) 428-7841

NPI assigned

Aug 28, 2007

Last updated

Jul 24, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406160000000",
    "number": "1285828715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 247",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394410247",
            "telephone_number": "601-399-6167",
            "fax_number": "601-399-6281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 JEFFERSON ST",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394404350",
            "telephone_number": "601-649-7802",
            "fax_number": "601-428-7841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROADWAY",
        "first_name": "AMANDA",
        "credential": "RNFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-28",
        "last_updated": "2014-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "MS",
            "license": "R866035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Branch of Love
• Howard K Brashiner, RN
• Adonnis Breland
• Jordan Brewer, SLP
• Madison Carol Brewer, FNP-C
• James Boyd Bronson II, D.O.
• Ashley Brooks
• Michael Pollard Brooks, M.D.
• Elizabeth Ann Brown, LPC
• Felicia R Brown, LPN

• Registered Nurse First Assistant in Laurel, MS
• Providers in Laurel, MS by specialty
• Registered Nurse First Assistant in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; 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.