JULIE M BROUSSARD (NPI# 1467808485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467808485 |
| Entity Type | Individual |
| Full Name | JULIE M BROUSSARD |
| Credential | NNP |
| Practice Address |
95 Judge Tanner Blvd Nicu Covington LA 70433-7500 |
| Practice Telephone | 9858674361 |
| Mailing Telephone | 9858674361 |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2016-05-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
AP03064 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225343197 | Julie Broussard | Pharmacist | 1104 E Main St, New Iberia, LA 70560-3920 | 2010-08-16 |
| 1104010099 | Julie Guilbeau Broussard | Anesthesiology | 301 University Blvd, Galveston, TX 77555-5302 | 2007-09-04 |
| Street Address |
95 JUDGE TANNER BLVD NICU |
| City | COVINGTON |
| State | LA |
| Zip Code | 70433-7500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891798328 | Steven F Pflug | Radiology | 95 Judge Tanner Blvd, Covington, LA 70433-7500 | 2005-05-30 |
| 1003467812 | Paige Long | Physician Assistant | 95 Judge Tanner Blvd, Covington, LA 70433-7500 | 2019-09-23 |
| 1114421112 | Ashley Martin Mossbarger | Nurse Practitioner | 95 Judge Tanner Blvd, Covington, LA 70433-7507 | 2018-03-23 |
| 1699121947 | Kathleen Gibeau Hekmatdoost | Nurse Practitioner | 95 Judge Tanner Blvd, Covington, LA 70433-7500 | 2016-05-05 |
| 1205290640 | Joshua Fay | Nurse Anesthetist, Certified Registered | 95 Judge Tanner Blvd, Covington, LA 70433-7500 | 2016-04-12 |
| 1730546441 | Jean Guillory | Nurse Anesthetist, Certified Registered | 95 Judge Tanner Blvd, Covington, LA 70433-7500 | 2016-01-26 |
| 1568843886 | Mark Joseph Gagnard | General Acute Care Hospital | 95 Judge Tanner Blvd, Covington, LA 70433-3353 | 2015-06-11 |
| 1467831180 | Northshore Surgical Specialists LLC | Surgery | 95 Judge Tanner Blvd, Covington, LA 70433-7500 | 2015-05-27 |
| 1851790729 | Landon K Whitworth | Nurse Practitioner | 95 Judge Tanner Blvd, Covington, LA 70433-7500 | 2014-08-17 |
| 1700297272 | Oriole Acute Trauma LLC | Surgery | 95 Judge Tanner Blvd, Covington, LA 70433-7500 | 2014-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790301018 | Caroline K. Wilson | Speech-Language Pathologist | 19105 Sandy Lane Suite A, Covington, LA 70433 | 2020-06-23 |
| 1568092013 | Tracy T Aljabi | Nurse Practitioner | 648 Crestwood Dr., Covington, LA 70433 | 2020-01-23 |
| 1093365462 | Maria Robert Hebrock | Marriage & Family Therapist | 71338 La-21, Suite 101, Covington, LA 70433 | 2019-09-17 |
| 1750930806 | Terry Fink Troxler | Speech-Language Pathologist | 521 Covington Point Dr, Covington, LA 70433 | 2019-09-10 |
| 1780231589 | Margaret Nordness Favre | Behavioral Analyst | 3999 Us-190, Covington, LA 70433 | 2019-08-26 |
| 1881241180 | Jennifer Ann Bacile | Counselor | 604 E 15th Street, Covington, LA 70433 | 2019-08-21 |
| 1356906689 | Moving and Caring Transportation LLC | Non-emergency Medical Transport (VAN) | 251 Vintage Drive, Covington, LA 70433 | 2019-05-02 |
| 1780153874 | Nga Endoscopy Center LLC | Clinic/Center | 7015 Hwy 190 E Service Road Suite 103, Covington, LA 70433 | 2018-11-19 |
| 1831667229 | Geauxprodme | Durable Medical Equipment & Medical Supplies | 1304 Champagne Street, Covington, LA 70433 | 2018-11-05 |
| 1376037994 | Pamela Ann Bernabo | Specialist/Technologist, Other | 80 Maison Drive, Covington, LA 70433 | 2018-06-18 |
| Find all providers in zip 70433 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851757520 | Dawn Michelle Tripp | Nurse Practitioner | 10141 Flat Shoals Rd Sw, Covington, GA 30014-3707 | 2016-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427309400 | Jennifer Laviolette Vitellaro | Nurse Practitioner | 105 Fairfield Oaks Dr, Madisonville, LA 70447-9235 | 2012-10-01 |
| 1982961967 | Ashley L Bridges | Nurse Practitioner | 153 Ben Bridges Rd, Downsville, LA 71234-5439 | 2012-04-16 |
| 1366640666 | Kathlyn P Bell | Nurse Practitioner | 180 West Esplanade Ave, Kenner, LA 70065 | 2007-07-07 |
| 1134146921 | Sharon Wooten Sommerville | Nurse Practitioner | 1214 Quincy Dr, Bossier City, LA 71111-8197 | 2006-07-16 |
| 1194346916 | Lavonna Parham | Nurse Practitioner | 2700 Napoleon Ave, New Orleans, LA 70115-6914 | 2020-05-04 |
| 1093349235 | Amanda Madden | Nurse Practitioner | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2020-02-26 |
| 1457991671 | Courtney Price Mansour | Nurse Practitioner | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2020-01-15 |
| 1396382560 | Wilbur Eric Sharp | Nurse Practitioner | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2019-12-05 |
| 1891257515 | Ainsley L Manning | Nurse Practitioner | 309 Jackson St, Monroe, LA 71201-7407 | 2019-04-02 |
| 1558869925 | Shelley Maureen Clapp | Nurse Practitioner | 1401 Foucher St, Nicu, New Orleans, LA 70115 | 2018-01-31 |
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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.