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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ANNETTA INDIA BROOMFIELD
NPI 1023933140
Registered Nurse in Decatur, IL

Active since August 10, 2026
102 W KENWOOD AVE, DECATUR, IL 62526(217) 872-3800 Get Directions Write a Review

NPPES record added: August 10, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Annetta India Broomfield NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANNETTA INDIA BROOMFIELD (NPI 1023933140) is an individual registered nurse in Decatur, Illinois, licensed in Illinois (041.402531) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1023933140
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameANNETTA INDIA BROOMFIELD
Location Address102 W KENWOOD AVEDecatur, IL 62526-4368
Mailing Address102 W Kenwood AveDecatur, IL 62526-4368 · (217) 872-3800
Phone(217) 872-3800
Sole ProprietorYes
Enumeration DateAugust 10, 2026
NPPES CertifiedAugust 10, 2026
✔ NPI 1023933140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License✔ Licensed in IL · 041.402531
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
102 W KENWOOD AVE, Decatur, IL 62526
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Other Names 1

Former Name (1)Annetta Perkins-broomfield

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. VIRGINIA ANN KERWIN R.D. ,CDE, LDN
Dietitian, Registered
102 W KENWOOD AVE
DECATUR, IL 62526
Macon County (217) 545-8000
DRS GRAHAM & GRAHAM LTD
Podiatrist (Foot & Ankle Surgery)
102 W KENWOOD AVE, SUITE 150
DECATUR, IL 62526
Macon County (217) 875-3668
BROOKLYNN JUNE ALDRIDGE
Community Health Worker
102 W KENWOOD AVE
DECATUR, IL 62526
Macon County (217) 972-5857
MISS ROBYN PLOESSL DPT
Physical Therapist
102 W KENWOOD AVE
DECATUR, IL 62526
Macon County (217) 876-2690
MICHAEL STEPHEN KOCH MS, ATC
Specialist/Technologist (Athletic Trainer)
102 W KENWOOD AVE
DECATUR, IL 62526
Macon County (217) 876-6820
TAMMY KAY MUNCH PA-C
Physician Assistant
102 W KENWOOD AVE, SUITE 110
DECATUR, IL 62526
Macon County (217) 876-6880
KYLIE VANDYKE
Social Worker (Clinical)
102 W KENWOOD AVE
DECATUR, IL 62526
Macon County (217) 520-1047
MR. JEFFREY BRUCE ROUNDS M.S., A.T.C., L.A.T
Specialist/Technologist (Athletic Trainer)
102 W KENWOOD AVE
DECATUR, IL 62526
Macon County (217) 876-6820

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Annetta Broomfield's NPI number?

The NPI number for Annetta Broomfield is 1023933140. It was assigned to this individual provider in the NPPES registry on August 10, 2026. The provider is also known as Annetta Perkins-Broomfield.

Where is Annetta Broomfield located?

Annetta Broomfield practices at 102 W Kenwood Ave, Decatur, IL 62526. The listed phone number is (217) 872-3800.

What is Annetta Broomfield's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

When was this NPI record last updated?

The NPPES record for Annetta Broomfield was last updated on August 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.