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EVERSIDE HEALTH-STI BRODHEAD
NPI 1467183566
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine in Brodhead, WI

Active since June 20, 2022CLIA 36D2136631 · Waiver
302 23RD ST, BRODHEAD, WI 53520(704) 529-6161 Get Directions Write a Review

NPPES record last updated: May 23, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 23, 2025, Aug 15, 2022 (2 updates tracked since 2022).

About Everside Health-sti Brodhead NPPES

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

EVERSIDE HEALTH-STI BRODHEAD (NPI 1467183566) is a healthcare organization registered as a preventive medicine/occupational environmental medicine in Brodhead, Wisconsin and active in the NPI registry since June 2022. The organization holds a CLIA Waiver certificate valid through September 12, 2027 and lists Karla Spivey, Central Support Specialist, as its authorized official.

NPPES Registry Identity

NPI1467183566
Entity TypeOrganization
Primary Taxonomy2083P0500X
Legal Business NameEVERSIDE HEALTH-STI BRODHEAD
Location Address302 23RD STBrodhead, WI 53520-1918
Mailing AddressPo Box 1433Portsmouth, NH 03802-1433
Phone(704) 529-6161
Organization SubpartNo
Authorized OfficialKarla SpiveyCentral Support Specialist · (317) 869-3164
Enumeration DateJune 20, 2022
Last NPPES UpdateMay 23, 20252 updates tracked since enumeration
NPPES CertifiedMay 23, 2025
✔ NPI 1467183566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Preventive Medicine/Occupational Environmental MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0500X
Definition
A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.
302 23RD ST, Brodhead, WI 53520
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2136631

Everside Health White Pond Drive · Akron, OH
Active · expires Sep 12, 2027
CLIA Number36D2136631
Laboratory TypeChronic Disease Mgmt
Certificate Effective DateSeptember 13, 2025
Certificate Expiration DateSeptember 12, 2027
Laboratory DirectorKathleen Hathaway
Laboratory Phone(704) 529-6161
Laboratory LocationEverside Health White Pond Drive789 White Pond Drive Suite A, Akron, OH 44320
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D1058339

Everside Health, LLC - Hsm Bedding · Hickory, NC
Expired · Sep 4, 2026
CLIA Number34D1058339
Laboratory TypeOther
Certificate Effective DateSeptember 5, 2024
Certificate Expiration DateSeptember 4, 2026
Laboratory DirectorKim Evans
Laboratory Phone(704) 529-6161
Laboratory LocationEverside Health, LLC - Hsm Bedding180 Mcdonald Parkway SE, Hickory, NC 28601
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Everside Health-Sti Brodhead's NPI number?

The NPI number for Everside Health-Sti Brodhead is 1467183566. It was assigned to this organization in the NPPES registry on June 20, 2022.

Where is Everside Health-Sti Brodhead located?

Everside Health-Sti Brodhead is located at 302 23rd St, Brodhead, WI 53520. The listed phone number is (704) 529-6161.

What is Everside Health-Sti Brodhead's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Preventive Medicine/Occupational Environmental Medicine, with taxonomy code 2083P0500X.

Does Everside Health-Sti Brodhead hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2136631) is associated with this NPI, valid through September 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Everside Health-Sti Brodhead was last updated on May 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.