Individual provider Active NPI

Allison Kay Broderick, APRN, FNP-C

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1457772295
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3008407 Issued in KY
Practice address
1169 Eastern Pkwy
Louisville, KY 40217-1417
Phone
(888) 854-1397
NPI assigned
Dec 20, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP70054553 WA
Family Nurse Practitioner 363LF0000X 4704424715 MI
Family Nurse Practitioner 363LF0000X 1217369 TX
Family Nurse Practitioner 363LF0000X APRN.CNP.0041533 OH
Family Nurse Practitioner 363LF0000X APRN11045159 FL
Family Nurse Practitioner 363LF0000X 3008407 KY Primary

Addresses

Primary practice location

1169 Eastern Pkwy
Louisville, KY 40217-1417

Mailing address

1169 Eastern Pkwy
Louisville, KY 40217-1417
Phone (888) 854-1397

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, MI, CT, MS, WA, TX, FL, OH8 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 8

Enrollment IDStateProvider typePAC IDDetails
I20140127000199 KY Practitioner - Nurse Practitioner 1759510548 Reassigns benefits to 4 organizations
I20250702003510 MI Practitioner - Nurse Practitioner 1759510548 Reassigns benefits to 1 organization
I20250922003861 CT Practitioner - Nurse Practitioner 1759510548 Reassigns benefits to 1 organization
I20251022001349 MS Practitioner - Nurse Practitioner 1759510548 Reassigns benefits to 1 organization
I20251118004525 WA Practitioner - Nurse Practitioner 1759510548 Reassigns benefits to 1 organization
I20251202001570 TX Practitioner - Nurse Practitioner 1759510548 Reassigns benefits to 1 organization
I20260209003988 FL Practitioner - Nurse Practitioner 1759510548 Reassigns benefits to 1 organization
I20260316001044 OH Practitioner - Nurse Practitioner 1759510548 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

139 Megan Dr
Shepherdsville, KY 40165-8912

200 Oceangate
Suite 100
Long Beach, CA 90802-4316

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11045159FLMDFamily Nurse Practitioner
APRN.CNP.0041533OHMDFamily Nurse Practitioner
AP70054553WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Molina Healthcare of Washington, Inc Current Accepting new patients
Vpa PC Family CurrentSince Feb 23, 2025 Accepting new patients
Signify Health, LLC CurrentSince Oct 17, 2024 Accepting new patients
Harmonycares Complete Health Services, PLLC CurrentSince Oct 4, 2025 Accepting new patients
Molina Healthcare of Washington, Inc CurrentSince Nov 4, 2025 Accepting new patients
Molina Care Connections, LLC. CurrentSince Jun 2, 2025 Accepting new patients
Vpa PC CurrentSince Feb 23, 2025 Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

175 Scott Swamp Rd
Farmington, CT 06032
Phone (860) 249-6752

8300 NW 33rd St
Ste 400
Doral, FL 33122
Phone (904) 229-7396

2452 Sir Barton Way
Ste 303
Lexington, KY 40509
Phone (859) 340-3233

3499 Blazer Pkwy
Ste 330
Lexington, KY 40509
Phone (410) 885-4727

5100 Commerce Crossings Dr
Louisville, KY 40229
Phone (502) 305-6267

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

880 W Long Lake Rd
Troy, MI 48098
Phone (248) 227-6316

188 E Capitol St
Ste 700
Jackson, MS 39201
Phone (844) 809-8438

3000 Corporate Exchange Dr
Columbus, OH 43231
Phone (614) 942-3042

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

1660 Westridge Cir N
Irving, TX 75038
Phone (214) 467-9787

5605 N MacArthur Blvd
Ste 400
Irving, TX 75038
Phone (972) 536-7265

22522 29th Dr SE
#L210
Bothell, WA 98021
Phone (509) 774-7874

15 SW Everett Mall Way
Ste A
Everett, WA 98204
Phone (425) 348-6727

Interoperability endpoints

  • Direct secure messaging: allison.broderick@49428401684484.direct.elationemr.com
  • Direct secure messaging: abroderick18900@direct-prd.molinahealthcare.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1387497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1457772295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1169 EASTERN PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171417",
            "telephone_number": "888-854-1397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1169 EASTERN PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171417",
            "telephone_number": "888-854-1397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODERICK",
        "first_name": "ALLISON",
        "middle_name": "KAY",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-20",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP70054553",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704424715",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1217369",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0041533",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11045159",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3008407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.