Broader Possibilities Clinical Services PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

BROADER POSSIBILITIES CLINICAL SERVICES PLLC

Doing business as

Broader Possibilities Clinical Services PLLC

Practice address

952 Golf House Rd W Ste I-655
Whitsett, NC 27377-9286

Phone

(910) 467-8686

NPI assigned

Apr 17, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Natashia BroadnaxNPI 1164978920

Title

Pmhnp-BC, FNP-C

Phone

(910) 467-8686

Specialties & licenses 2

Addresses

Other names 1

• Broader Possibilities Clinical Services PLLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Natashia Broadnax, PMHNP-BC, FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Whitsett, NC
  • NPI 1164978920
  NPD Authorized official

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

{
    "created_epoch": "1713312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1912751652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "952 GOLF HOUSE RD W STE I-655",
            "city": "WHITSETT",
            "state": "NC",
            "postal_code": "273779286",
            "telephone_number": "910-467-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "952 GOLF HOUSE RD W STE I-655",
            "city": "WHITSETT",
            "state": "NC",
            "postal_code": "273779286",
            "telephone_number": "910-467-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADER POSSIBILITIES CLINICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-17",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A",
        "authorized_official_last_name": "BROADNAX",
        "authorized_official_first_name": "NATASHIA",
        "authorized_official_title_or_position": "PMHNP-BC, FNP-C",
        "authorized_official_telephone_number": "910-467-8686",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broader Possibilities Clinical Services PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Psychiatric/Mental Health Nurse Practitioner in Whitsett, NC
• Providers in Whitsett, NC by specialty
• Psychiatric/Mental Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.

Verify at the official NPI Registry.