TARESSA ANNE BROUSSARD (NPI# 1205323524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205323524 |
| Entity Type | Individual |
| Full Name | TARESSA ANNE BROUSSARD |
| Credential | FNP |
| Practice Address |
8401 Picardy Ave Baton Rouge LA 70809-3685 |
| Mailing Address |
Po Box 4176 Houma LA 70361-4176 |
| Practice Telephone | 2253080247 |
| Practice Fax Number | 2253080249 |
| Mailing Telephone | 9858725864 |
| Mailing Fax Number | 9858720317 |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2018-04-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | AP09838 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8401 PICARDY AVE |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70809-3685 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659331247 | Leon Francis Kraft | Internal Medicine | 8401 Picardy Ave, Baton Rouge, LA 70809-3685 | 2006-03-27 |
| 1558856385 | Kiara Ja'nae Turner | Nurse Practitioner | 8401 Picardy Ave, Baton Rouge, LA 70809 | 2018-06-25 |
| 1821508532 | Kirsten Wille Friddle | Nurse Practitioner | 8401 Picardy Ave, Baton Rouge, LA 70809-3685 | 2017-10-08 |
| 1184074502 | Bill Cranford Jr. | Nurse Practitioner | 8401 Picardy Ave, Baton Rouge, LA 70809-3685 | 2016-06-16 |
| 1154629210 | Faith Vinyard Gill | Nurse Practitioner | 8401 Picardy Ave, Baton Rouge, LA 70809-3685 | 2011-03-14 |
| 1780990838 | Amit Naradlal Patel | Internal Medicine | 8401 Picardy Ave, Baton Rouge, LA 70809-3685 | 2010-08-27 |
| 1013149954 | Christopher Holmes Alexander | Nurse Practitioner | 8401 Picardy Ave, Baton Rouge, LA 70809-3685 | 2009-08-11 |
| 1538336177 | Robert Howard Drennan | Internal Medicine | 8401 Picardy Ave, Baton Rouge, LA 70809-3685 | 2008-05-13 |
| 1528243300 | Charisse Janet Ward | Internal Medicine | 8401 Picardy Ave, Baton Rouge, LA 70809-3685 | 2007-12-29 |
| 1649451121 | Venkata Satish Gadi | Internal Medicine | 8401 Picardy Ave, Baton Rouge, LA 70809-3685 | 2007-11-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619582640 | Lisha Kerr Jacobsen | Counselor | 7936 Wrenwood Drive, Bldg # A, Baton Rouge, LA 70809 | 2020-09-15 |
| 1790301596 | Louisiana Regenerative Medicine Center | Clinic/Center | 9456 Jefferson Hwy St A, Baton Rouge, LA 70809 | 2020-06-18 |
| 1093337305 | Sew Luxe Customs, LLC | Prosthetic/Orthotic Supplier | 8674 Quarters Lake Road, Building 11 Suit 1, Baton Rouge, LA 70809 | 2020-05-08 |
| 1366903908 | Tamika Wyna Piper | Counselor | 11445 Reiger Road, Baton Rouge, LA 70809 | 2019-03-27 |
| 1548734213 | Urg-hab Surgical Specialists | Pain Medicine | 8558 Jefferson Hwy, Baton Rouge, LA 70809 | 2019-01-16 |
| 1205306610 | Monique West | Case Manager/Care Coordinator | 9441 Common Street, Suite B, Baton Rouge, LA 70809 | 2018-11-28 |
| 1679061618 | Sara Elizabeth Nicole Altaean | Massage Therapist | Ability Massage & Day Spa, 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-04-25 |
| 1871098921 | Gary Bernard Jr. | Massage Therapist | 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-03-29 |
| 1619476355 | De'andria Banks | Behavior Technician | 9150 Bareford Drive, Baton Rouge, LA 70809 | 2018-02-08 |
| 1427561679 | Angiogenesis Medical LLC | Durable Medical Equipment & Medical Supplies | 8032 Summa Ave Ste D, Baton Rouge, LA 70809 | 2017-11-09 |
| Find all providers in zip 70809 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285101626 | Joseph Carter | Nurse Practitioner | 15481 Airline Hwy, Baton Rouge, LA 70817-7314 | 2018-10-24 |
| 1407346984 | Baton Rouge General Medical Center | Nurse Practitioner | 8585 Picardy Ave Ste 412, Baton Rouge, LA 70809-3749 | 2018-05-10 |
| 1235630260 | Abby A Burke | Nurse Practitioner | 12072 S Tom Stokes Ct, Baton Rouge, LA 70810-3177 | 2018-02-25 |
| 1619484029 | Andrea Viator Murphy | Nurse Practitioner | 8415 Goodwood Blvd Ste 202b, Baton Rouge, LA 70806 | 2018-01-08 |
| 1225558059 | Christina Marino | Nurse Practitioner | 17141 Deer Meadow Ave, Baton Rouge, LA 70816-1701 | 2017-06-22 |
| 1871042713 | Zenovia Harris | Nurse Practitioner | 1138 Elvin Dr, Baton Rouge, LA 70810-8715 | 2016-10-03 |
| 1275087033 | Impact Network, LLC | Nurse Practitioner | 13636 Highland Rd, Baton Rouge, LA 70810-5013 | 2016-08-10 |
| 1295140812 | Altegra Health Connections, LLC | Nurse Practitioner | 5615 Corporate Blvd, Suite 400 B, Baton Rouge, LA 70808-2536 | 2014-06-23 |
| 1043633183 | Terrica Terrell Williams | Nurse Practitioner | 9118 Bluebonnet Centre Blvd Fl 2, Baton Rouge, LA 70809-2993 | 2014-01-24 |
| 1699010710 | Aimee Claire Braus | Nurse Practitioner | 3121 Nicholson Lake Dr, Baton Rouge, LA 70810-0354 | 2012-11-29 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70809 |
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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.