Broadstep Academy-Indiana Inc

Primary specialty

Day Training/Habilitation SpecialistTaxonomy code 373H00000X

Legal business name

BROADSTEP ACADEMY-INDIANA INC

Practice address

8521 Six Forks Rd Ste 300
Raleigh, NC 27615-5294

Phone

(919) 726-4096

NPI assigned

Apr 12, 2021

Last updated

Apr 12, 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

Isabelle E Williams

Title

Accounts Receivable Manager

Phone

(919) 703-2829

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618185600000",
    "number": "1396325635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8521 SIX FORKS RD STE 300",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276155294",
            "telephone_number": "919-726-4096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8521 SIX FORKS RD STE 300",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276155294",
            "telephone_number": "919-726-4096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADSTEP ACADEMY-INDIANA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-12",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ISABELLE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ACCOUNTS RECEIVABLE MANAGER",
        "authorized_official_telephone_number": "919-703-2829"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "iwilliams@broadstep.com",
            "affiliation": "N",
            "address_1": "8521 Six Forks Rd Ste 300",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276155294",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Day Training/Habilitation Specialist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Day Training/Habilitation Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.