NINA CLAIRE BROUSSARD (NPI# 1104312560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104312560 |
| Entity Type | Individual |
| Full Name | NINA CLAIRE BROUSSARD |
| Credential | NP |
| Practice Address |
1990 Industrial Blvd Houma LA 70363-7055 |
| Practice Telephone | 9858689300 |
| Practice Fax Number | 9858510053 |
| Mailing Telephone | 9858689300 |
| Mailing Fax Number | 9858510053 |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2018-12-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
AP10088 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP10088 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1990 INDUSTRIAL BLVD |
| City | HOUMA |
| State | LA |
| Zip Code | 70363-7055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730183401 | Shaminder Mohan Gupta | Internal Medicine | 1990 Industrial Blvd, Houma, LA 70363-7055 | 2005-06-09 |
| 1528620564 | Paige M Robichaux | Nurse Practitioner | 1990 Industrial Blvd, Houma, LA 70363-7055 | 2019-06-30 |
| 1871079822 | Amanda Graham Lucas | Nurse Practitioner | 1990 Industrial Blvd, Houma, LA 70363-7055 | 2018-07-12 |
| 1972024099 | Britney Haydel | Physician Assistant | 1990 Industrial Blvd, Houma, LA 70363-7055 | 2017-06-28 |
| 1881145258 | Corey Dupre | Physician Assistant | 1990 Industrial Blvd, Houma, LA 70363-7055 | 2016-10-20 |
| 1609228477 | Matthew Phillip James | Physician Assistant | 1990 Industrial Blvd, Houma, LA 70363-7055 | 2016-07-05 |
| 1801240726 | Stephen Kyle Jones | Anesthesiology | 1990 Industrial Blvd, Houma, LA 70363-7055 | 2016-04-17 |
| 1164889382 | Brandi Lecompte | Nurse Practitioner | 1990 Industrial Blvd, Houma, LA 70363-7055 | 2016-01-19 |
| 1952778623 | Amber Wooldridge Sevin | Nurse Practitioner | 1990 Industrial Blvd, Houma, LA 70363-7055 | 2015-08-28 |
| 1508241266 | Erin Margaret Kinnard | Physician Assistant | 1990 Industrial Blvd, Houma, LA 70363-7055 | 2015-07-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588286991 | Nadish Ravindran | Student in an Organized Health Care Education/Training Program | 1978 Industrial Blvd Internal Medicine Program, Chabert Medical Center, Houma, LA 70363 | 2020-05-08 |
| 1912527185 | Gurjit Singh Brar | Student in an Organized Health Care Education/Training Program | Chabert Medical Center 1978 Industrial Blvd, Internal Medicine Residency Program, Houma, LA 70363 | 2020-04-17 |
| 1912568718 | Blake P Pitre | Pharmacist | 13087 West Main St, Larose, LA 70363 | 2019-06-24 |
| 1528623212 | Navkiran Singh Jagdev | Student in an Organized Health Care Education/Training Program | 1978 Industrial Blvd Chabert Medical Center, Internal Medicine Residency Program, Houma, LA 70363 | 2019-05-08 |
| 1376107367 | Sheahahn Vikash Soundranayagam | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Program Chabert Medical, Center, 1978 Industrial Blvd, Hourna, LA 70363 | 2019-04-25 |
| 1962991034 | Naveen Silva | Student in an Organized Health Care Education/Training Program | 1976 Industrial Blvd, Internal Medicine Residency Program Chabert Medical Cen, Houma, LA 70363 | 2018-05-04 |
| 1841647526 | Ammad Asad Syed | Student in an Organized Health Care Education/Training Program | 1978 Industrial Blvd., Internal Medicine Residency Program, Chabert Medical Ce, Houma, LA 70363 | 2016-05-23 |
| 1538514450 | Khizran Rizvi | Internal Medicine | 1978 Industrial Blvd. Chabert Medical Center, Internal Medicine Residency Program, Houma, LA 70363 | 2016-04-28 |
| 1649656836 | David Price | Pharmacist | 9303 East Parke Avenue, Houma, LA 70363 | 2015-08-11 |
| 1346638053 | Donna Marie Neville | Case Manager/Care Coordinator | 137 New Orleans Blvd, Houma, LA 70363 | 2015-01-05 |
| Find all providers in zip 70363 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942506183 | Angelique Allemand | Nurse Practitioner | 412 Canal Ln, Houma, LA 70364-1113 | 2011-02-06 |
| 1124660345 | Renee St Germain | Nurse Practitioner | 1978 Industrial Blvd, Houma, LA 70363-7055 | 2019-10-09 |
| 1396231726 | Jacquelyn Leanna Coster | Nurse Practitioner | 225 Dunn St, Houma, LA 70360-4440 | 2018-07-09 |
| 1598120370 | Kaysie Lynn Boudreaux | Nurse Practitioner | 1978 Industrial Blvd, Houma, LA 70363-7055 | 2015-12-22 |
| 1295049112 | Mobile Practitioner, LLC | Nurse Practitioner | 4577 Mill Creek St, Houma, LA 70360-8149 | 2010-08-03 |
| 1861550527 | Fabian Ann Whitney | Nurse Practitioner | 1978 Industrial Blvd, Houma, LA 70363-7055 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293355 | Sheronica V Simmons | Nurse Practitioner | 2751 Albert L Bicknell Dr Ste 3c, Shreveport, LA 71103-3943 | 2020-10-25 |
| 1699372169 | Alexis Christian | Nurse Practitioner | 4319 Carter St, Vidalia, LA 71373-3152 | 2020-10-07 |
| 1669087607 | Stella Yonga | Nurse Practitioner | 5913 Bocage Dr, Alexandria, LA 71303-2190 | 2020-09-15 |
| 1366056871 | Terry Lynn Jackson | Nurse Practitioner | 4922 General Ashley Dr, Bossier City, LA 71112-4764 | 2020-09-02 |
| 1285272641 | Elizabeth Grace Robinson | Nurse Practitioner | 5717 Lake Side Dr, Bossier City, LA 71111-5509 | 2019-12-17 |
| 1316410236 | Tanya Nicole Slayter | Nurse Practitioner | 1811 E Bert Koun Loop Ste 210, Shreveport, LA 71105-5740 | 2019-01-03 |
| 1114402013 | Hayley Mitchell | Nurse Practitioner | 200 W Esplanade Ave Ste 103, Kenner, LA 70065-2473 | 2018-09-27 |
| 1679061279 | Antonya Williams | Nurse Practitioner | 9419 Amity Way, Shreveport, LA 71118-3601 | 2018-04-29 |
| 1073013702 | Holly Holmes Leonhard | Nurse Practitioner | 648 Crestwood Dr, Covington, LA 70433 | 2018-02-19 |
| 1932649837 | Stephanie Johnson | Nurse Practitioner | 37082 Agnes Webb Ave, Prairieville, LA 70769-3397 | 2017-02-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.