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

RAVEN BRODEN
NPI 1588577878
Student in an Organized Health Care Education/Training Program in Charlotte, NC

Active since September 26, 2026
3010 MONROE RD STE 108G, CHARLOTTE, NC 28205(980) 777-3980 Get Directions Write a Review

NPPES record added: September 26, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Raven Broden NPPES

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

RAVEN BRODEN (NPI 1588577878) is an individual student in an organized health care education/training program in Charlotte, North Carolina and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1588577878
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameRAVEN BRODEN
Location Address3010 MONROE RD STE 108GCharlotte, NC 28205-7533
Mailing Address3010 Monroe Rd Ste 108gCharlotte, NC 28205-7533 · (980) 777-3980
Phone(980) 777-3980
Sole ProprietorNo
Enumeration DateSeptember 26, 2026
NPPES CertifiedSeptember 26, 2026
✔ NPI 1588577878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3010 MONROE RD STE 108G, Charlotte, NC 28205
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Other Providers at the Same Location NPPES

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

JUST IN TIME HOME CARE SERVICES, LLC
In Home Supportive Care
3010 MONROE RD STE 108G
CHARLOTTE, NC 28205
Mecklenburg County (980) 777-3980

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 Raven Broden's NPI number?

The NPI number for Raven Broden is 1588577878. It was assigned to this individual provider in the NPPES registry on September 26, 2026.

Where is Raven Broden located?

Raven Broden practices at 3010 Monroe Rd Ste 108G, Charlotte, NC 28205. The listed phone number is (980) 777-3980.

What is Raven Broden's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Raven Broden was last updated on September 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.