KENYETTA N. BROUGHTON-FLOYD
NPI 1104030139, an individual provider in PARK FOREST, IL 60466.
- NPI
- 1104030139
- Entity type
- Individual (type 1)
- Status
- Active
- Practice location
- PARK FOREST, IL 60466
- Enumerated
- 2007-05-09
- Last updated
- 2025-09-11
curl https://api.healthcare.dev/v1/providers/1104030139 \ -H "Authorization: Bearer $HDEV_API_KEY"
NPPES
Taxonomy codes
- 222Q00000X Primary
- 101YS0200X
Codes from the Health Care Provider Taxonomy code set; their names belong to the NUCC and aren't shown here.
Official record
The CMS NPI Registry is the official source for this NPI: NPI 1104030139 in the NPI Registry.
Use it
Look up 1104030139 from code or an agent
curl https://api.healthcare.dev/v1/providers/1104030139 \ -H "Authorization: Bearer $HDEV_API_KEY"
Using the healthcare.dev MCP server, look up NPI 1104030139. Tell me the provider's name, whether it is an individual or an organization, whether the NPI is active, its taxonomy codes and its practice city and state.
Source: CMS NPPES file, release 2026-11. Public (FOIA-disclosable). Registry data as CMS publishes it, not a verification of credentials, licensure or enrollment.