Kelly Lynne Broekhof, BSN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

RN 45281 Issued in HI

Practice address

BLDG 2104 Massey Ave
Naval Station Mayport
Jacksonville, FL 32222

Phone

(904) 270-4293

NPI assigned

Jun 16, 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

Credentials

Bachelor on Science - Nursing

State licenses

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1477597680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 ORISKANY ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322271712",
            "telephone_number": "904-372-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLDG 2104 MASSEY AVE",
            "address_2": "NAVAL STATION MAYPORT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32222",
            "telephone_number": "904-270-4293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROEKHOF",
        "first_name": "KELLY",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "HI",
            "license": "RN 45281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Brodersen, MD
• Mark Brodeur, MD
• Jacqueline Brodskaya, DMD
• Kiya Jane Brody
• Justine A Broecker, M.D.
• Nyel Brogden
• Bonnie Lynn Brogdon, PA-C
• Tawna Bromhead, DPT
• Timothy Daniel Bromhead, DPT
• Grace Bromley, RDN, LDN

• Case Management Registered Nurse in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Case Management Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.