Active NPI
Allison Kay Broderick, APRN, FNP-C
- Family Nurse Practitioner
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3008407
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 8
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
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11045159 | FL | MD | Family Nurse Practitioner |
| APRN.CNP.0041533 | OH | MD | Family Nurse Practitioner |
| AP70054553 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Molina Healthcare of Washington, Inc | Current | Accepting new patients | |
| Vpa PC | Family | Current | Accepting new patients |
| Signify Health, LLC | Current | Accepting new patients | |
| Harmonycares Complete Health Services, PLLC | Current | Accepting new patients | |
| Molina Healthcare of Washington, Inc | Current | Accepting new patients | |
| Molina Care Connections, LLC. | Current | Accepting new patients | |
| Vpa PC | Current | 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
- allison.broderick@49428401684484.direct.elationemr.com
- 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.
-
- Family Medicine Physician
- Lexington, KY
- NPI 1639318520
-
dba HarmonyCares Health Services
- Family Medicine Physician
- Jackson, MS
- NPI 1093543902
KY
-
dba Molina CC
- Nurse Practitioner
- Long Beach, CA
- NPI 1407243223
CT, FL, KY, MI, MS, OH, TX
-
- Family Medicine Physician
- Everett, WA
- NPI 1912235060
-
- Family Medicine Physician
- Bothell, WA
- NPI 1659897163
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.