CINDERELLA BROUSSARD LLC (NPI# 1295273837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295273837 |
| Entity Type | Organization |
| Organization Name | CINDERELLA BROUSSARD LLC |
| Practice Address |
208 W Gloria Switch Rd # 6 Lafayette LA 70507-3409 |
| Mailing Address |
Po Box 913 Carencro LA 70520-0913 |
| Practice Telephone | 3375657026 |
| Practice Fax Number | 8558325335 |
| Mailing Telephone | 3378863151 |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2020-01-11 |
| Authorized Official Name | CINDERELLA MARIE BROUSSARD (OWNER) |
| Authorized Official Telephone | 3378863151 |
| Authorized Official Credential | PMHNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP09099 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
208 W GLORIA SWITCH RD # 6 |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70507-3409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043724107 | Danielle Bias | Counselor | 106 Smalley Rd, Lafayette, LA 70507 | 2017-11-28 |
| 1720505076 | Amy C Rochon | Counselor | 315 Amesbury Drive, Apt 292, Lafayette, LA 70507 | 2017-08-28 |
| 1174045504 | Mia Collins | Case Manager/Care Coordinator | 315 Amesbury Dr Apt 357, Lafayette, LA 70507 | 2017-07-07 |
| 1942739792 | Precious Charles | Counselor | 200 Buttercup Dr Apt 613, Lafayette, LA 70507 | 2017-06-06 |
| 1346633831 | Minute Med Clinic - Pont De Mouton LLC | Clinic/Center | 104 Banister Court, Suite 1c, Lafayette, LA 70507 | 2015-03-09 |
| 1134559578 | Britt Elliott Martin | Pharmacist | 920 West Gloria Switch Road, Lafayette, LA 70507 | 2013-11-21 |
| 1801130877 | Barney Joseph Fusilier Jr. | Pharmacist | 920 W. Gloria Switch Rd., Walgreens, Lafayette, LA 70507 | 2012-11-15 |
| 1508140773 | Joseph Kenneth Vizena | Pharmacist | 3754 Moss Street, Lafayette, LA 70507 | 2011-10-05 |
| 1629177399 | Kevin Lyle Francois | Pharmacist | 3803-f Moss St, Lafayette, LA 70507 | 2006-09-21 |
| 1821024563 | Vermilion Hospital LLC | Psychiatric Hospital | 2520 N. University Ave, Lafayette, LA 70507 | 2006-06-24 |
| Find all providers in zip 70507 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376169979 | Nancy Ariwodo | Nurse Practitioner | 225 Rue La France, Lafayette, LA 70508-1565 | 2020-06-19 |
| 1114558715 | Danielle J Threatts Aprn LLC | Nurse Practitioner | 208 W Gloria Switch Rd Ste 219, Lafayette, LA 70507-3409 | 2020-02-01 |
| 1992359848 | Harold G Frizzell Psychiatric Services LLC | Nurse Practitioner | 300 Thompson Loop, Lafayette, LA 70506-2820 | 2019-07-29 |
| 1154801876 | Seth Jordan Bowers | Nurse Practitioner | 4906 Ambassador Caffery Pkwy # B, Lafayette, LA 70508-6962 | 2018-08-21 |
| 1205351137 | Laura Lee Kight | Nurse Practitioner | 215 Rue Fontaine, Lafayette, LA 70508-5742 | 2017-08-11 |
| 1811441702 | Amanda Barfield, LLC | Nurse Practitioner | 103 Epinal Dr, Lafayette, LA 70507-3241 | 2016-08-08 |
| 1437500519 | April Breaux | Nurse Practitioner | 114 Representative Row Ste B, Lafayette, LA 70508-3878 | 2016-06-29 |
| 1497119481 | Acadiana Healthcare Solutions LLC | Nurse Practitioner | 711 N Pierce St, Lafayette, LA 70501-3529 | 2016-04-06 |
| 1477926715 | Lisa A. Chavis LLC | Nurse Practitioner | 2826 Louisiana Ave, 1202, Lafayette, LA 70501-1383 | 2015-11-09 |
| 1881060044 | Bethany Verret Collins | Nurse Practitioner | 850 Kaliste Saloom Rd Ste 112, Lafayette, LA 70508-4230 | 2015-08-11 |
| Find all providers in LAFAYETTE | ||||
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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.