Active NPI
Jodi Lynn Brodkorb, RN, BSN
- General Practice Registered Nurse
- Marion, IN
National Provider Identifier
1346926425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Registered Nurse
- License
- 28157396A
- Practice address
- 560 S 900 E
Marion, IN 46953-9629 - Phone
- (765) 662-0624
- NPI assigned
- Jun 23, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 28157396A | IN | Primary |
Addresses
Primary practice location
560 S 900 E
Marion, IN 46953-9629
Mailing address
1248 S Valhalla St
Upland, IN 46989-9002
Phone (765) 744-4936
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28157396A | IN | MD | General Practice Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687478400000",
"number": "1346926425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1248 S VALHALLA ST",
"city": "UPLAND",
"state": "IN",
"postal_code": "469899002",
"telephone_number": "765-744-4936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 S 900 E",
"city": "MARION",
"state": "IN",
"postal_code": "469539629",
"telephone_number": "765-662-0624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRODKORB",
"first_name": "JODI",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "RN, BSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-23",
"last_updated": "2023-06-23",
"certification_date": "2023-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "IN",
"license": "28157396A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marion, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.