Stephanie Zimmerman Broughton, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN00047708 Issued in WA

Practice address

22200 Brier Rd
Brier, WA 98036-8047

Phone

(425) 431-1065

Fax

(425) 431-7272

NPI assigned

Feb 7, 2013

Last updated

Feb 7, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1360195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360195200000",
    "number": "1912246133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22200 BRIER RD",
            "city": "BRIER",
            "state": "WA",
            "postal_code": "980368047",
            "telephone_number": "425-431-1065",
            "fax_number": "425-431-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22200 BRIER RD",
            "city": "BRIER",
            "state": "WA",
            "postal_code": "980368047",
            "telephone_number": "425-431-1065",
            "fax_number": "425-431-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUGHTON",
        "first_name": "STEPHANIE",
        "middle_name": "ZIMMERMAN",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-07",
        "last_updated": "2013-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00047708",
            "primary": true
        },
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "WA",
            "license": "RN00047708",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• ABA Outreach of Washington, LLC
• Scott Thompson Andrews, DDS
• Taryn Keola Okalani Awana, M.ED., BCBA, AAC
• Cheng-Huan Chang, RPH
• Michelle Cosley
• Sharon Marie Cremin, MSW, LICSW
• Susan Eco, RN
• Pamela F Gerlich, LMP

• Registered Nurse in Brier, WA
• Providers in Brier, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; 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.