Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1497880934 Individual Practitioner Female Practitioner

Vicky L Broderick , CNNP

Nurse Practitioner - Neonatal • Seattle, WA

Professional Overview & Biography Verified Profile Summary

Vicky Broderick, CNNP is a registered healthcare professional specializing in Nurse Practitioner - Neonatal in Seattle, WA. Practice services are available at 1550 N 115TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1550 N 115th St

Seattle, WA 981338401

Telephone 2065205000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Neonatal in Seattle, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.0 Yrs
State Avg: 4.3 Yrs
Regional Practice Density
42 Specialists

Practicing in Seattle, WA (83 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-09-14
Nurse Practitioner - Neonatal Primary Specialty

NUCC Taxonomy Code: 363LN0000X

State License WA AP30003054

Definition to come...

Secondary Practice Locations

800 E 21st St, Neonatal Intensive Care Unit

Sioux Falls, SD 571051016

Phone: 6053224400

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Sandhya Panch , MD

Internal Medicine - Hematology

NPI 1003043415

Doctor of Medicine (M.D.)

Hilary King , MA, RC

Counselor - Mental Health

NPI 1003068735

Master of Arts, RC

Dr. Afshin Shameli , MD, PhD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1003104357

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Dr. Timothy Menza , MD, PhD

Internal Medicine - Infectious Disease

NPI 1003105891

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Dr. Maria Corcorran , MD

Internal Medicine

NPI 1003159013

Doctor of Medicine (M.D.)

Dr. Justin Miller , PhD

Psychologist - Clinical

NPI 1003162314

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location September 14, 2020

Registered at 1550 N 115TH ST, SEATTLE, WA 981338401 (Tel: 2065205000)

📍
Updated Business Mailing Address September 14, 2020

Registered at PO BOX 50095, SEATTLE, WA 981455095

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 14, 2020

Nurse Practitioner (License #AP30003054 in WA)

📍
Updated Practice Location April 16, 2020

Registered at 2525 CHICAGO AVE, MINNEAPOLIS, MN 554044518 (Tel: 6128136000)

📍
Updated Business Mailing Address April 16, 2020

Registered at 5858 MAJESTIC TIDE AVE, LAS VEGAS, NV 891312514 (Tel: 6052120628)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 800 E 21ST ST, NEONATAL INTENSIVE CARE UNIT, SIOUX FALLS, SD 571051016 (Tel: 6053224400)

📍
Updated Business Mailing Address July 08, 2007

Registered at 800 E 21ST ST, NEONATAL INTENSIVE CARE UNIT, SIOUX FALLS, SD 571051016 (Tel: 6053224400)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as VICKY BRODERICK, CNNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Nurse Practitioner (License #DS-CNP CP000290 in SD)

🟢
Initial NPI Registration & Enumeration February 23, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1497880934
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 23, 2007
Last Update: September 14, 2020
Sole Proprietor: No

Mailing Address

Po Box 50095

Seattle, WA 981455095

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.