Deanna Jane Broome

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

IMT 1812 Issued in FL

Practice address

15012 Heronglen Dr
Lithia, FL 33547-5853

Phone

(813) 684-4191

NPI assigned

Oct 29, 2012

Last updated

Oct 29, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1351468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351468800000",
    "number": "1700130812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15012 HERONGLEN DR",
            "city": "LITHIA",
            "state": "FL",
            "postal_code": "335475853",
            "telephone_number": "813-684-4191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15012 HERONGLEN DR",
            "city": "LITHIA",
            "state": "FL",
            "postal_code": "335475853",
            "telephone_number": "813-684-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOME",
        "first_name": "DEANNA",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-29",
        "last_updated": "2012-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "IMT 1812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Lee Boudreau
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• Sherry Littlepage Brodersen, PHARMD
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• Jeilyn M Brown
• Richard Brown III
• William Brown
• Carol Brzozowski, ARNP

• Marriage & Family Therapist in Lithia, FL
• Providers in Lithia, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; 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.