Monica Broadie, RN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

0413000441 Issued in IL

Practice address

2133 W Lexington St
Chicago, IL 60612-3707

Phone

(312) 746-4664

Fax

(312) 746-6526

NPI assigned

Oct 8, 2010

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

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Chicago City of

  dba Chicago Department of Public Health

  • Other Technician
  • Chicago, IL
  • NPI 1194178566
  NPD (past)
• City of Chicago

  • Community Health Clinic/Center
  • Chicago, IL
  • NPI 1194725192
  NPD (past)

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

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286496000000",
    "number": "1285944223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2133 W LEXINGTON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123707",
            "telephone_number": "312-746-4664",
            "fax_number": "312-746-6526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2133 W LEXINGTON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123707",
            "telephone_number": "312-746-4664",
            "fax_number": "312-746-6526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROADIE",
        "first_name": "MONICA",
        "name_prefix": "Miss",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-08",
        "last_updated": "2010-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "IL",
            "license": "0413000441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nahrin Brndaro
• Broad Horizons Psychotherapy
• Allison Broad, MD
• Sierra Rae Broad, DO
• Tanya Marraccini Broaded, D.C.
• Jacob David Broadrick, MSN RN
• Broadway Chiropractic Inc
• Broadway Medical Group
• Broadway Medical Office S C
• Broadway Pharmacy Inc

• Licensed Practical Nurse in Chicago, IL
• Providers in Chicago, IL by specialty
• Licensed Practical Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2010; 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.