MRS. STACY SHELTON BROADDUS NP, CNM
NPI 1215215223
Advanced Practice Midwife in El Paso, TX

NPI Status: Active since July 25, 2011

Contact Information

4801 ALBERTA AVE
EL PASO, TX
ZIP 79905
Phone: (915) 545-6490
Fax: (915) 783-6228

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  • Individual
  • Female
  • Advanced Practice Midwife

About STACY BROADDUS

This page provides the complete NPI Profile along with additional information for Stacy Broaddus, a provider established in El Paso, Texas with a medical specialization in Advanced Practice Midwife. The healthcare provider is registered in the NPI registry with number 1215215223 assigned on July 2011. The practitioner's primary taxonomy code is 367A00000X with license number 5301741 (TX). The provider is registered as an individual and her NPI record was last updated 14 years ago.

NPI
1215215223
Provider Name
MRS. STACY SHELTON BROADDUS NP, CNM
Gender
Female
Entity Type
Individual
Location Address
4801 ALBERTA AVE EL PASO, TX 79905
Location Phone
(915) 545-6490
Location Fax
(915) 783-6228
Mailing Address
4801 ALBERTA AVE EL PASO, TX 79905
Mailing Phone
(915) 545-6490
Mailing Fax
(915) 783-6228
Is Sole Proprietor?
Yes
Enumeration Date
07-25-2011
Last Update Date
07-25-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Advanced Practice Midwife

Taxonomy Code
367A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
5301741
License State
TX
Taxonomy Description
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1215215223
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2225411024
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 2 + 5 + 4 + 1 + 1 + 0 + 2 + 4 + 24 = 47
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 47 = 33

The NPI number 1215215223 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1659331569DR. RAYMOND J. BAGG M.D.
Individual
Orthopaedic Surgery4801 ALBERTA AVE
EL PASO, TX 79905
(915) 545-9795
1326155813 JEFFREY D. SCHUSTER M.D.
Individual
Pediatrics (Pediatric Cardiology)4801 ALBERTA AVE
EL PASO, TX 79905
(915) 545-6817
1104933522 MANUEL SCHYDLOWER M.D.
Individual
Pediatrics4801 ALBERTA AVE
EL PASO, TX 79905
(915) 545-6817
1003996851 ELVIA MARTINEZ LSW/CPW
Individual
Case Manager/Care Coordinator4801 ALBERTA AVE
EL PASO, TX 79905
(915) 545-6990
1033291810 INES MARIA ANCHONDO DIETITIAN
Individual
Dietitian, Registered4801 ALBERTA AVE
EL PASO, TX 79905
(915) 545-9795
1225111479 GRACIELA CAMACHO LSW/CPW
Individual
Case Manager/Care Coordinator4801 ALBERTA AVE
EL PASO, TX 79905
(915) 545-6763
1255492898 MARIA MAGDALENA BARRON NPC
Individual
Registered Nurse (Neonatal, Low-Risk)4801 ALBERTA AVE
EL PASO, TX 79905
(915) 545-6817
1023204799TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER AT EL PASO
Organization
General Acute Care Hospital4801 ALBERTA AVE
EL PASO, TX 79905
(915) 545-7300
1760678353TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER
Organization
General Acute Care Hospital4801 ALBERTA AVE
EL PASO, TX 79905
(915) 545-6520
1114113818DR. NAMRATA MAHENDRA PATEL M.D.
Individual
Emergency Medicine4801 ALBERTA AVE EMERGENCY MEDICINE
EL PASO, TX 79905
(915) 545-6739
1932495256DR. ANGELICA AURORA NUNEZ M.D.
Individual
Internal Medicine4801 ALBERTA AVE
EL PASO, TX 79905
(915) 545-0982
1902170194 ELISA CHRISTINE STUMP NNP
Individual
Nurse Practitioner (Neonatal)4801 ALBERTA AVE
EL PASO, TX 79905
(915) 545-6755
1568474880 OSCAR BLANC M.D.
Individual
Pediatrics4801 ALBERTA AVE
EL PASO, TX 79905
(915) 545-6817
1558374868 JOSE MANUEL DE LA ROSA M.D.
Individual
Pediatrics4801 ALBERTA AVE
EL PASO, TX 79905
(915) 545-6817
1972610319DR. PRATIBHA K. SHIRSAT M.D
Individual
Pediatrics4801 ALBERTA AVE
EL PASO, TX 79905
(915) 545-9681
1982704821 MARY E LACAZE MD
Individual
Pediatrics4801 ALBERTA AVE
EL PASO, TX 79905
(915) 545-6816
1568508638DR. INDU PATHAK M.D.
Individual
Pediatrics4801 ALBERTA AVE
EL PASO, TX 79905
(915) 545-6817
1801025416 NICHOLE R ANDREWS M.D.
Individual
Emergency Medicine4801 ALBERTA AVE
EL PASO, TX 79905
(915) 545-7333
1316033889 MICHELE FOLLEN M.D., PHD
Individual
Obstetrics & Gynecology (Gynecologic Oncology)4801 ALBERTA AVE
EL PASO, TX 79905
(915) 545-6611
1437362092DR. BENJAMIN CARCAMO M.D.
Individual
Pediatrics (Pediatric Hematology-Oncology)4801 ALBERTA AVE
EL PASO, TX 79905
(915) 545-6810

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215215223, enumerated in the NPI registry as an "individual" on July 25, 2011

The provider is located at 4801 Alberta Ave El Paso, Tx 79905 and the phone number is (915) 545-6490

The provider's speciality is Advanced Practice Midwife with taxonomy code 367A00000X

This NPI record was last updated on July 25, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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