AMETHA BROADWATER LPN
NPI 1669728754
Licensed Practical Nurse in Bristol, VA

Q: What is Ametha Broadwater's NPI number?

The NPI number for Ametha Broadwater is 1669728754. It was assigned to this individual provider in the NPPES registry on July 26, 2012.

Q: What is Ametha Broadwater's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Ametha Broadwater was last updated on July 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.

Active since July 26, 2012

151 REEDY ST, BRISTOL, VA 24201(423) 646-1560 Get Directions Write a Review

NPPES record last updated: July 26, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ametha Broadwater Lpn NPPES

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

AMETHA BROADWATER LPN (NPI 1669728754) is an individual licensed practical nurse in Bristol, Virginia, licensed in Virginia (0002070904) and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1669728754

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameAMETHA BROADWATERCredential: LPN

Location Address151 REEDY STBristol, VA 24201-3126

Mailing Address151 Reedy StBristol, VA 24201-3126

Phone(423) 646-1560

Sole ProprietorYes

Enumeration DateJuly 26, 2012

✔ NPI 1669728754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in VA · 0002070904

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

151 REEDY ST, Bristol, VA 24201

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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.

HEAVENLY HANDS HEALTHCARE, LLC

Home Health

151 REEDY ST
BRISTOL, VA 24201

Bristol City (423) 646-1560

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 Ametha Broadwater's NPI number?

The NPI number for Ametha Broadwater is 1669728754. It was assigned to this individual provider in the NPPES registry on July 26, 2012.

Where is Ametha Broadwater located?

Ametha Broadwater practices at 151 Reedy St, Bristol, VA 24201. The listed phone number is (423) 646-1560.

What is Ametha Broadwater's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Ametha Broadwater was last updated on July 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.