Angie Broyles, LPP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0046 Issued in KY

Practice address

149 Enterprise Dr
Somerset, KY 42501-6155

Phone

(606) 679-6995

Fax

(606) 451-6731

NPI assigned

May 17, 2006

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

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407110400000",
    "number": "1386696276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 GASTINEAU RD",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425035127",
            "telephone_number": "606-423-9437",
            "fax_number": "606-451-6731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 ENTERPRISE DR",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425016155",
            "telephone_number": "606-679-6995",
            "fax_number": "606-451-6731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROYLES",
        "first_name": "ANGIE",
        "credential": "LPP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2014-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "0046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pascha Christine Brown
• Patricia Brown, LCSW
• Shelby B Brown, M.ED. BCBA LBA
• Stefanie Young Brown, RN
• Rhonda L. Browning
• Aaron Kyle Bruce, PHARMD
• Amber Bruce, MS, BCBA, LBA
• Jackie Bruecken, HIS
• Haylee Brumley, PHARMD
• Denny Lee Brummett, DMD

• Clinical Psychologist in Somerset, KY
• Providers in Somerset, KY by specialty
• Clinical Psychologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.