BROKEN ROADS MENTAL HEALTH, LLC
NPI 1164259974
Nurse Practitioner - Psychiatric/Mental Health in Port St Lucie, FL

NPI Status: Active since September 16, 2024

Contact Information

1680 SW BAYSHORE BLVD STE 107
PORT ST LUCIE, FL
ZIP 34984
Phone: (772) 249-2597

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  • Organization
  • Nurse Practitioner
  • Psychiatric/Mental Health

About BROKEN ROADS MENTAL HEALTH, LLC

This page provides the complete NPI Profile along with additional information for Broken Roads Mental Health, Llc, a provider established in Port St Lucie, Florida operating as a Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1164259974 assigned on September 2024. The practitioner's primary taxonomy code is 363LP0808X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Broken Roads Mental Health, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Sara Waterbury Aprn (Owner)

NPI
1164259974
Provider Name
BROKEN ROADS MENTAL HEALTH, LLC
Entity Type
Organization
Location Address
1680 SW BAYSHORE BLVD STE 107 PORT ST LUCIE, FL 34984
Location Phone
(772) 249-2597
Mailing Address
1680 SW BAYSHORE BLVD STE 107 PORT ST LUCIE, FL 34984
Mailing Phone
(772) 249-2597
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-16-2024
Last Update Date
09-30-2024
Code Navigator

A nurse practitioner (NP) like Broken Roads Mental Health, Llc 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.

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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

Nurse Practitioner Psychiatric/Mental Health

Taxonomy Code
363LP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SARA WATERBURY APRN

Authorized Official Title
OWNER
Authorized Official Phone
(772) 249-2597

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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 1164259974, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

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
6
Doubled → 12 → 1 + 2
Pos 4
4
Unchanged
Pos 5
2
Doubled → 4
Pos 6
5
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
9
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
4
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 6 → 12 → 3 2 → 4 9 → 18 → 9 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 2 + 4 + 4 + 5 + 1 + 8 + 9 + 1 + 4 + 24 = 66

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

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1164259974.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Nurse Practitioner (Psychiatric/Mental Health)
1680 SW BAYSHORE BLVD STE 107
PORT ST LUCIE, FL 34984

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164259974, enumerated as an "organization" on September 16, 2024.

The provider is located at 1680 SW BAYSHORE BLVD STE 107 PORT ST LUCIE, FL 34984 and the phone number is (772) 249-2597.

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