Active NPI
Ashawnta Marie Broshears, RECOVERY SPECIALIST
- Counselor
- Evansville, IN
National Provider Identifier
1801634860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 1497502827
- Practice address
- 1510 W Franklin St
Evansville, IN 47710-1032 - Phone
- (812) 602-0176
- NPI assigned
- Jul 16, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 1497502827 | IN | Primary |
Addresses
Primary practice location
1510 W Franklin St
Evansville, IN 47710-1032
Mailing address
1510 W Franklin St
Evansville, IN 47710-1032
Phone (812) 602-0176
Other names 1
- Ashawnta Marie Broshears
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1497502827 | IN | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721088000000",
"number": "1801634860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1510 W FRANKLIN ST",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477101032",
"telephone_number": "812-602-0176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1510 W FRANKLIN ST",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477101032",
"telephone_number": "812-602-0176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROSHEARS",
"first_name": "ASHAWNTA",
"middle_name": "MARIE",
"credential": "RECOVERY SPECIALIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-16",
"last_updated": "2024-07-16",
"certification_date": "2024-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IN",
"license": "1497502827",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ASHAWNTA",
"last_name": "BROSHEARS",
"middle_name": "MARIE",
"credential": "TAE",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.