Robbi Lea Broadhead, R.N.

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

R858055 Issued in MS

Practice address

2103 13TH St
Meridian, MS 39301-4045

Phone

(601) 482-3275

NPI assigned

Apr 6, 2017

Sex

Female

Sole proprietor

No

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

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Laboratory Corporation of America Holdings

  • Clinical Medical Laboratory
  • San Diego, CA
  • NPI 1427864081
  NPD (past)

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

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491436800000",
    "number": "1992238067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 PINEHURST DR",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393059188",
            "telephone_number": "601-616-5152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 13TH ST",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014045",
            "telephone_number": "601-482-3275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROADHEAD",
        "first_name": "ROBBI",
        "middle_name": "LEA",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-06",
        "last_updated": "2017-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "MS",
            "license": "R858055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa B Brewster, BSN
• Brighter Horizons Counseling LLC
• Alicia Briscoe, DDS
• Maria Britt, LPC, LCMHT
• Mary Angela Britton, FNP
• Brock B. Westover DDS
• Bianca La'Shai Brooks-Rascoe, CNA, CMA
• Kevin Alan Broussard, RPH ANP
• Felecia Brown, CNM WHNP-BC
• Jalisha Brown, FNP-C

• All providers in Meridian, MS
• Administrator Registered Nurse in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; 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.