Amber Dawn Broyles, BA

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

907 W Caddo St
Cleveland, OK 74020-4201

Phone

(918) 308-5511

Fax

(918) 205-2701

NPI assigned

Aug 29, 2012

Last updated

Nov 22, 2021By 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

Other names 1

• Miss Amber Dawn Tabor Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1427306000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 W CADDO ST",
            "city": "CLEVELAND",
            "state": "OK",
            "postal_code": "740204201",
            "telephone_number": "918-308-5511",
            "fax_number": "918-205-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 W CADDO ST",
            "city": "CLEVELAND",
            "state": "OK",
            "postal_code": "740204201",
            "telephone_number": "918-308-5511",
            "fax_number": "918-205-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROYLES",
        "first_name": "AMBER",
        "middle_name": "DAWN",
        "name_prefix": "Miss",
        "credential": "BA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "TABOR",
            "middle_name": "DAWN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sampson J Blythe III, DC
• Marilyn Sue Braden
• Marisa Lee Bravo
• John Alexander Brown, RN
• Rhonda Brown
• Ashlee Dawn Bunch
• Whitley Burgess
• Cassandra Leann Butler
• Lindsey Danielle Cash
• David Chambers

• Case Manager/Care Coordinator in Cleveland, OK
• Providers in Cleveland, OK by specialty
• Case Manager/Care Coordinator in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.