KRISTY SMITH BROUSSARD


Address: 750 Morphy Ave, Fairhope, AL 36532-1899
Phone: 2519232375

KRISTY SMITH BROUSSARD (NPI# 1689234726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689234726
Entity Type Individual
Full Name KRISTY SMITH BROUSSARD
Credential NNP
Practice Address 750 Morphy Ave
Fairhope
AL 36532-1899
Mailing Address 1561 Darlington St
Covington
LA 70433-6042
Practice Telephone 2519232375
Enumeration Date 2019-06-20
Last Update Date 2019-06-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LN0005X Nurse Practitioner
Specialization: Neonatal, Critical Care
06091 LA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
5 Mobile Infirmary Cir, Mobile, AL 366073513 2514352400

Office Location

Street Address 750 MORPHY AVE
City FAIRHOPE
State AL
Zip Code 36532-1899

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619959962 Bay Radiology, P.C. Specialist 750 Morphy Ave, Fairhope, AL 36532-1812 2005-11-14
1942801329 Maria Elizabeth Beltran Student in an Organized Health Care Education/Training Program 750 Morphy Ave, Fairhope, AL 36532-1899 2020-11-03
1114532306 Michaela Bylokova Student in an Organized Health Care Education/Training Program 750 Morphy Ave, Fairhope, AL 36532-1812 2020-09-14
1952911638 Gulf Health Hospitals, Inc Clinical Medical Laboratory 750 Morphy Ave, Fairhope, AL 36532-1812 2020-08-06
1255941357 Celestine Odigwe Student in an Organized Health Care Education/Training Program 750 Morphy Ave, Fairhope, AL 36532-1812 2020-08-04
1114544285 Robin Annamarie Boyer Student in an Organized Health Care Education/Training Program 750 Morphy Ave, Fairhope, AL 36532-1812 2020-07-06
1144847229 Ian Alexander Langford Student in an Organized Health Care Education/Training Program 750 Morphy Ave, Fairhope, AL 36532-1812 2020-07-06
1922625003 Christina Oghele Amanambu Student in an Organized Health Care Education/Training Program 750 Morphy Ave, Fairhope, AL 36532-1812 2020-07-06
1730706805 Christina Elizabeth Carl Student in an Organized Health Care Education/Training Program 750 Morphy Ave, Fairhope, AL 36532-1812 2020-07-06
1679190755 Nicole Catherine Weidow Student in an Organized Health Care Education/Training Program 750 Morphy Ave, Fairhope, AL 36532-1812 2020-07-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376000729 Abby Stockman Marriage & Family Therapist 372 S. Greeno Road, Fairhope, AL 36532 2019-02-21
1962973990 Pain Consultants of Alabama Non-Pharmacy Dispensing Site 320 North Greeno Rd., Fairhope, AL 36532 2018-12-17
1881182236 Interface Medical Consulting LLC Family Medicine 12141 Cri, Fairhope, AL 36532 2018-05-01
1063937167 Julia W Stone, LLC Counselor 21180 Al State Hwy 181, Suite 2, Fairhope, AL 36532 2017-08-09
1568985349 Eastern Shore Oral, Facial and Implant Surgery Center, P.C. Clinic/Center 24172 4th Street, Fairhope, AL 36532 2017-07-24
1205209509 Comfort Care Coastal Hospice, LLC Hospice Care, Community Based 22502 U.S. Highway 98, Fairhope, AL 36532 2015-11-09
1609248632 Sabrina Reeves Physician Assistant 77 Magnolia Ave, Fairhope, AL 36532 2015-10-29
1386025146 Laura Lasecki Wimmer Podiatrist 23937 Us Highway 98 Ste 1, Fairhope, AL 36532 2015-06-17
1386024719 Gulf Coast Homecare LLC Dba Firstlight Homecare of Mobile Eastern Shor In Home Supportive Care 924 Plantation Blvd., Suite C, Fairhope, AL 36532 2015-06-01
1386021525 June Lassiter Nurse Practitioner 22823 Ecor Rouge Lane, Fairhope, AL 36532 2015-04-27
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Taxonomy Information

Taxonomy Code 363LN0005X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Neonatal, Critical Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1902276041 Kelly Trawick Nurse Practitioner 1315 Mountain Ln, Gardendale, AL 35071-4201 2015-10-01
1962870717 Amy Gibson Nurse Practitioner 618 18th St S # 10360, Birmingham, AL 35233-1827 2015-09-10
1356722516 Stacy Nichole Basinger Nurse Practitioner 450 County Road 677, Cullman, AL 35055-9096 2015-06-13
1598105298 Sarah Quinney Nurse Practitioner 2117 White Way, Birmingham, AL 35226 2013-06-27
1891139531 Heather Dawn Austin Nurse Practitioner Uab, 1700 6th Avenue South, Birmingham, AL 35249-0001 2013-04-24
1619233970 Lisa Brown Bailey Nurse Practitioner 1700 Center Street--, Division of Neonatology, Mobile, AL 36604 2012-04-11
1083803712 Cynthia Marie Fpalmer Nurse Practitioner 433 Exeter Dr, Birmingham, AL 35206-2845 2007-10-18
1235223850 Deborah C Driskill Nurse Practitioner 433 Exeter Drive, Birmingham, AL 35206 2006-10-03
1427685361 Jennifer Carol Burris Nurse Practitioner 1600 7th Ave S, Birmingham, AL 35233-1711 2020-03-23
1922632744 Neonatal Nurse Practitioner Services of Ga., LLC Nurse Practitioner 1608 Great Pine Rd, Birmingham, AL 35235-2819 2020-03-02
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Competitor

Search similar providers

City FAIRHOPE
Zip Code 36532

Improve Information

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Dataset Information

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.

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