NICOLE BRODERSON RN, MSN, PMHNP-BC
NPI 1124308689
Nurse Practitioner - Psychiatric/Mental Health in Santa Fe, NM

NPI Status: Active since August 27, 2011

Contact Information

1421 LUISA ST
SUITE N
SANTA FE, NM
ZIP 87505
Phone: (505) 428-0072
Fax: (888) 256-1158

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  • Individual
  • Female
  • Nurse Practitioner
  • Psychiatric/Mental Health

About NICOLE BRODERSON

This page provides the complete NPI Profile along with additional information for Nicole Broderson, a provider established in Santa Fe, New Mexico with a medical specialization in Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1124308689 assigned on August 2011. The practitioner's primary taxonomy code is 363LP0808X with license number CNP-01815 (NM). The provider is registered as an individual and her NPI record was last updated 13 years ago.

NPI
1124308689
Provider Name
NICOLE BRODERSON RN, MSN, PMHNP-BC
Gender
Female
Entity Type
Individual
Location Address
1421 LUISA ST SUITE N SANTA FE, NM 87505
Location Phone
(505) 428-0072
Location Fax
(888) 256-1158
Mailing Address
PO BOX 23901 SANTA FE, NM 87502
Mailing Phone
(505) 428-0072
Mailing Fax
(888) 256-1158
Is Sole Proprietor?
Yes
Enumeration Date
08-27-2011
Last Update Date
07-31-2013
Code Navigator

A nurse practitioner (NP) like Nicole Broderson is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

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

Nurse Practitioner Psychiatric/Mental Health

Taxonomy Code
363LP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
CNP-01815
License State
NM

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1124308689, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
2
Doubled → 4
Pos 4
4
Unchanged
Pos 5
3
Doubled → 6
Pos 6
0
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
6
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 3 → 6 8 → 16 → 7 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 4 + 4 + 6 + 0 + 1 + 6 + 6 + 1 + 6 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1124308689.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Chiropractor
1421 LUISA ST, SUITE A
SANTA FE, NM 87505
Internal Medicine
1421 LUISA ST, UNIT I
SANTA FE, NM 87505
Physician Assistant
1421 LUISA ST, SUITE D
SANTA FE, NM 87505
Clinic/Center (Primary Care)
1421 LUISA ST, UNIT I
SANTA FE, NM 87505
Counselor (Mental Health)
1421 LUISA ST, SUITE N
SANTA FE, NM 87505
Nurse Practitioner
1421 LUISA ST, SUITE I
SANTA FE, NM 87505
Pharmacist (Pharmacotherapy)
1421 LUISA ST
SANTA FE, NM 87505
Massage Therapist
1421 LUISA ST, SUITE B
SANTA FE, NM 87505
Nurse Practitioner (Family)
1421 LUISA ST, SUITE I
SANTA FE, NM 87505
Community/Behavioral Health
1421 LUISA ST
SANTA FE, NM 87505
Counselor (Mental Health)
1421 LUISA ST
SANTA FE, NM 87505
Community/Behavioral Health
1421 LUISA ST
SANTA FE, NM 87505
Counselor (Mental Health)
1421 LUISA ST, SUITE O
SANTA FE, NM 87505

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124308689, enumerated as an "individual" on August 27, 2011.

The provider is located at 1421 LUISA ST SUITE N SANTA FE, NM 87505 and the phone number is (505) 428-0072.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.