Leigh Stacey Fields Broadbent, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA030414 Issued in DC

Practice address

401 E St SW
Washington, DC 20024-3242

Phone

(202) 698-9021

Fax

(202) 698-9103

NPI assigned

Aug 30, 2019

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

• Ms. Leigh Stacey Fields Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1567123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567123200000",
    "number": "1659929834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E ST SW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200243242",
            "telephone_number": "202-698-9021",
            "fax_number": "202-698-9103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E ST SW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200243242",
            "telephone_number": "202-698-9021",
            "fax_number": "202-698-9103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDS BROADBENT",
        "first_name": "LEIGH",
        "middle_name": "STACEY",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-30",
        "last_updated": "2019-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DC",
            "license": "PA030414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEIGH",
            "last_name": "FIELDS",
            "middle_name": "STACEY",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alufang Fidelis
• Wilton Fidelis, MD
• Karl Eric Field, PA
• Morris Ben Field, DO
• Sara Elizabeth Field, LICSW
• Gwendolyn Fields-Proctor, M.S,SLP
• Cecilia Fields, HHA
• Christina Loretha Fields
• Courtney Fields, PT, DPT, CCI
• David Fields, M.D.

• Physician Assistant in Washington, DC
• Providers in Washington, DC by specialty
• Physician Assistant in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; 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.