Kenyetta Broughton-floyd

ActiveIndividual ProviderSpecialty not listed
NPI issued: May 9, 2007

Quick Facts

NPI Number
1104030139
TypeIndividual
StatusActive
SpecialtySpecialty not listed
Taxonomy101YS0200X — Specialty not listed
Phone
(312) 238-9128
StateIL

NPI Validation Status: Verified

Valid 10-digit NPI number (1104030139)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (May 9, 2007)
Data source: CMS NPPES

Provider Overview

KENYETTA BROUGHTON-FLOYD is a Healthcare provider based in Park Forest, IL who has been registered with CMS since 2007. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1104030139
Provider TypeIndividual Provider
GenderFemale
StatusActive
Enumeration DateMay 9, 2007

Practice Location

CityPark Forest
StateIL
ZIP Code60466-2013
Phone(312) 238-9128

Specialties & Licenses

★ Primary
SpecialtySpecialty not listed
Taxonomy Code101YS0200X
License StateIL

Mailing Address

CityPark Forest
StateIL
ZIP Code60466-2013
Phone(312) 238-9128
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1104030139 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1104030139for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1104030139 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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6,595
Specialty not listed Providers in the US

Similar Providers in Park Forest

No similar providers found in Park Forest.

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People Also Ask

What is Kenyetta Broughton-floyd's NPI number?
Kenyetta Broughton-floyd's NPI number is 1104030139, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Kenyetta Broughton-floyd's NPI currently active?
Yes, Kenyetta Broughton-floyd's NPI status is Active as of the latest CMS NPPES database updates.
What does Kenyetta Broughton-floyd specialize in?
Kenyetta Broughton-floyd specializes in Specialty not listed. The healthcare taxonomy code associated with this specialty is 101YS0200X.
Where does Kenyetta Broughton-floyd practice?
Kenyetta Broughton-floyd practices in Park Forest, IL 60466-2013.
When was Kenyetta Broughton-floyd's NPI issued?
Kenyetta Broughton-floyd's NPI was issued on May 9, 2007.
What is Kenyetta Broughton-floyd's provider type?
Kenyetta Broughton-floyd is registered as an Individual Provider under CMS NPI Type 1.