Broadview Health, PA

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

BROADVIEW HEALTH, PA

Doing business as

Broadview Health

Practice address

17232 Lancaster Hwy
Charlotte, NC 28277-2002

Phone

(704) 544-0050

Fax

(704) 544-0050

NPI assigned

Sep 20, 2012

Last updated

Aug 26, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Karen Treasure, NP

Title

Provider

Phone

(704) 544-0050

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• BROADVIEW HEALTH Doing business as

Electronic endpoints 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rasheed A Onafuye, M.D

  • Geriatric Psychiatry Physician
  • Monroe, NC
  • NPI 1669651667
  NPD
• Diana Hunter-Eldridge, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Grover, NC
  • NPI 1346948478
  NPD (past)

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629936000000",
    "number": "1316298045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 VENUS ST",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281124025",
            "telephone_number": "704-635-7418",
            "fax_number": "704-635-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17232 LANCASTER HWY",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282772002",
            "telephone_number": "704-544-0050",
            "fax_number": "704-544-0050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "349 Venus St",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "NC",
            "postal_code": "281124025",
            "country_code": "US",
            "telephone_number": "704-635-7418",
            "fax_number": "704-635-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BROADVIEW HEALTH, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-20",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A",
        "authorized_official_last_name": "TREASURE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "704-544-0050",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NC",
            "license": "2009-00832",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083043913",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5921569",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "BROADVIEWHEALTHPA@GMAIL.COM",
            "affiliation": "N",
            "endpointDescription": "EMAIL ADDRESS",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "17232 Lancaster Hwy",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282772002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "BROADVIEWHEALTHPA@GMAIL.COM",
            "affiliation": "N",
            "endpointDescription": "EMAIL ADDRESS",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "17232 Lancaster Hwy",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282772002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "BROADVIEW HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adair Broadway
• Kelly L Broadway, PT
• Scott Russell Broadwell, MD
• Kelly Broady
• Melanie H Brocato, CPO

• Psychiatric/Mental Health Nurse Practitioner in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Psychiatric/Mental Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; 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.