Dr Ritchelle Broadnax LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

DR RITCHELLE BROADNAX LLC

Doing business as

Broadnax Healthcare

Practice address

5303 Vaughn Rd Ste 102
Montgomery, AL 36116-1120

Phone

(800) 221-1705

NPI assigned

Dec 16, 2018

Organization subpart

No

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

Authorized official

Name

Ritchelle V Broadnax, DNP,CRNP

Title

Nurse Practitioner/Owner

Phone

(205) 540-0083

Specialties & licenses 1

Addresses

Other names 1

• Broadnax Healthcare Doing business as

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19535/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675641600000",
    "number": "1750852950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3066 ZELDA RD # 331",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5303 VAUGHN RD STE 102",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361161120",
            "telephone_number": "800-221-1705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Perry Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361093637",
            "country_code": "US",
            "telephone_number": "334-272-0171",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "730 4th St SW",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352111412",
            "country_code": "US",
            "telephone_number": "205-703-0923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR RITCHELLE BROADNAX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-16",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A",
        "authorized_official_last_name": "BROADNAX",
        "authorized_official_first_name": "RITCHELLE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "205-540-0083",
        "authorized_official_credential": "DNP,CRNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broadnax Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Nurse Practitioner in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.