Whitney Johnson Broadwell, R.N.

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

203589 Issued in SC

Practice address

15269 Indian Mound Rd
Ware Shoals, SC 29692-3547

Phone

(864) 456-7496

Fax

(864) 861-4338

NPI assigned

Feb 8, 2013

Last updated

Feb 8, 2013By 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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1360281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360281600000",
    "number": "1306185400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15269 INDIAN MOUND RD",
            "city": "WARE SHOALS",
            "state": "SC",
            "postal_code": "296923547",
            "telephone_number": "864-456-7496",
            "fax_number": "864-861-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15269 INDIAN MOUND RD",
            "city": "WARE SHOALS",
            "state": "SC",
            "postal_code": "296923547",
            "telephone_number": "864-456-7496",
            "fax_number": "864-861-4338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROADWELL",
        "first_name": "WHITNEY",
        "middle_name": "JOHNSON",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-08",
        "last_updated": "2013-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "SC",
            "license": "203589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ally Child and Family Counseling, LLC
• Stacey Bass
• Beckman
• Nell Hunter Behrmann, SLP, CCC
• Rodrine Asante Buffaloe, M.D.
• Carolina Health Centers, Inc. (The Pendergrass Family Health Center)
• Deep Roots Therapy, LLC
• Ashley Dyal, LISW-CP
• Parker Edison, MD

• School Registered Nurse in Ware Shoals, SC
• Providers in Ware Shoals, SC by specialty
• School Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2013; 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.