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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TAMBGRA JUANETTE BROADAWAY LPC
NPI 1730482852
Counselor in Fort Campbell, KY

Active since December 11, 2010
650 JOEL DR, FORT CAMPBELL, KY 42223(270) 798-4677 Get Directions Write a Review

NPPES record last updated: August 31, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Tambgra Juanette Broadaway Lpc NPPES

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

TAMBGRA JUANETTE BROADAWAY LPC (NPI 1730482852) is an individual counselor in Fort Campbell, Kentucky, licensed in North Carolina (8319) and active in the NPI registry since December 2010.

NPPES Registry Identity

NPI1730482852
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameTAMBGRA JUANETTE BROADAWAYCredential: LPC
Location Address650 JOEL DRFort Campbell, KY 42223-8355
Mailing Address650 Joel DrFort Campbell, KY 42223-8355 · (704) 298-4677
Phone(270) 798-4677
Sole ProprietorYes
Enumeration DateDecember 11, 2010
Last NPPES UpdateAugust 31, 2026
NPPES CertifiedAugust 31, 2026
✔ NPI 1730482852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in NC · 8319
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
650 JOEL DR, Fort Campbell, KY 42223
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Maintenance Organization of Florida, Providence Health Plan and more.Insurance ›

Other Providers at the Same Location NPPES 20

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

LISA RENEE CORDELL RN
Registered Nurse
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 798-8500
SAMANTHA LYNNE WINDER ATC
Specialist/Technologist (Athletic Trainer)
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (435) 650-4301
BLANCHFILED ARMY COMMUNITY HOSPITAL
Military Hospital
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 798-8400
KATHLEEN MEERA GROFF FNP-BC
Nurse Practitioner
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 956-0451
LINDSAY DAVIS
Counselor (Professional)
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 798-0667
JEFFREY A SANFORD MD
Pathology (Anatomic Pathology & Clinical Pathology)
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 798-8400
ERIK FLOLO LMSW
Social Worker (Clinical)
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 798-8400
MARK WILLIAM MCNEELY MD
Pathology (Anatomic Pathology & Clinical Pathology)
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 798-8400

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 Tambgra Broadaway's NPI number?

The NPI number for Tambgra Broadaway is 1730482852. It was assigned to this individual provider in the NPPES registry on December 11, 2010.

Where is Tambgra Broadaway located?

Tambgra Broadaway practices at 650 Joel Dr, Fort Campbell, KY 42223. The listed phone number is (270) 798-4677.

What is Tambgra Broadaway's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

What insurance does Tambgra Broadaway accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Maintenance Organization of Florida, Providence Health Plan and UnitedHealthcare list Tambgra Broadaway as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tambgra Broadaway was last updated on August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.