BRAKEISHA LASHAY BROUSSARD (NPI# 1710506498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710506498 |
| Entity Type | Individual |
| Full Name | BRAKEISHA LASHAY BROUSSARD |
| Credential | LVN |
| Practice Address |
312 Liston St Lafayette LA 70501-1040 |
| Practice Telephone | 3375659737 |
| Mailing Telephone | 3375659737 |
| Enumeration Date | 2020-04-13 |
| Last Update Date | 2020-04-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 352464 | TX | Nursing Service Providers |
| Street Address |
312 LISTON ST |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70501-1040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326646134 | Gifted Hands Caregiver | Home Health Aide | 213 Grimsby St., Fafayette, LA 70501 | 2020-10-14 |
| 1740888551 | Complete Count LLC | Home Health | 713 South Orange St, Lafayette, LA 70501 | 2020-10-14 |
| 1154891471 | Lesha May | Case Manager/Care Coordinator | 113 W Covent St, Lafayette, LA 70501 | 2018-11-29 |
| 1871023994 | Nancy Bass Texada | Community/Behavioral Health | 525 South Buchanan, Lafayette, LA 70501 | 2017-06-13 |
| 1447706700 | Medicine Bin Plus LLC | Pharmacy | 1105 West Willow St, Lafayette, LA 70501 | 2016-08-28 |
| 1508227968 | Vicky Marie Senegal | Home Health Aide | 304 1/2 Rubria St., Lafayette, LA 70501 | 2016-03-14 |
| 1558766931 | Corey Gerard Porche | Counselor | 708 Jefferson Blvd., Lafayette, LA 70501 | 2014-10-28 |
| 1518362219 | Sherry Riddle | Counselor | 119 Caillouet Place, Lafayette, LA 70501 | 2014-10-24 |
| 1285057893 | Hearsts of Hope | Counselor | 911 General Mouton Avenue, Lafayette, LA 70501 | 2014-02-03 |
| 1437408549 | Jensen J. Bergeron | Counselor | 600 Jefferson Street Suite 903, Lafayette, LA 70501 | 2012-09-05 |
| Find all providers in zip 70501 | ||||
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699281808 | Joshua Paul Daigle | Licensed Vocational Nurse | 3149 Ambassador Caffery Pkwy, Lafayette, LA 70506-7209 | 2017-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386283661 | Tomeka Shantel Simmons | Licensed Vocational Nurse | 3450 Jackson St, Shreveport, LA 71109-4233 | 2020-01-03 |
| 1487213765 | Inga Renee Johnson | Licensed Vocational Nurse | 1575 Montgomery Dr, Baton Rouge, LA 70815-6859 | 2019-06-10 |
| 1689231771 | Jaquetta Celestine | Licensed Vocational Nurse | 209 W Rowson St, Welsh, LA 70591-3551 | 2019-05-23 |
| 1588124788 | Samantha Howard | Licensed Vocational Nurse | 5000 Woodland Dr Apt 68, New Orleans, LA 70131-7606 | 2019-03-22 |
| 1023596111 | Breeana Miller | Licensed Vocational Nurse | 314 Evelyn St, Sulphur, LA 70663-2422 | 2018-08-01 |
| 1982191615 | Ashley Smith Thompson | Licensed Vocational Nurse | 217 Lake Village Blvd, Slidell, LA 70461-3615 | 2018-04-18 |
| 1881112241 | Jill Kathleen Lynn | Licensed Vocational Nurse | 3341 Youree Drive, Shreveport, LA 71105 | 2017-09-06 |
| 1568821874 | Raymond Wallace IIi | Licensed Vocational Nurse | 23861 South Robin Rd, Mandeville, LA 70448 | 2016-02-15 |
| 1851665343 | Ralaiya Hall | Licensed Vocational Nurse | 920 Fairfax Dr, Gretna, LA 70056-8101 | 2012-02-29 |
| 1306159884 | Lois Ann Snyder | Licensed Vocational Nurse | 3462 Yorkfield Dr Apt B, Baton Rouge, LA 70816 | 2010-07-26 |
| Find all providers with the same taxonomy | ||||
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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.