MRS. AMY L BROUSSARD (NPI# 1770998437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770998437 |
Entity Type | Individual |
Full Name | MRS. AMY L BROUSSARD |
Credential | CST, CSFA |
Practice Address |
1117 Eighth St Lake Arthur LA 70549-3401 |
Mailing Address |
Po Box 396 Lake Arthur LA 70549-0396 |
Practice Telephone | 3375019813 |
Mailing Telephone | 3375019813 |
Enumeration Date | 2014-06-20 |
Last Update Date | 2014-06-20 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
Technologists, Technicians & Other Technical Service Providers |
Street Address |
1117 EIGHTH ST |
City | LAKE ARTHUR |
State | LA |
Zip Code | 70549-3401 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578911285 | Jennings American Legion Hospital | Nurse Practitioner | 328 Kellogg Ave, Lake Arthur, LA 70549 | 2016-06-03 |
1154779874 | Jennings American Legion Hospital Inc | Clinic/Center | 328 Kellogg Ave, Lake Arthur, LA 70549 | 2016-06-03 |
1780085571 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 620 N Highway 26, Lake Arthur, LA 70549-3404 | 2014-09-11 |
1427219591 | M. Jacqueline Derouen | Massage Therapist | 808 N Highway 26 Lot A, Lake Arthur, LA 70549-3408 | 2008-06-21 |
1467484220 | Health Mart of Lake Arthur, Inc. | Pharmacist | 500 N Highway 26, Lake Arthur, LA 70549-3904 | 2006-07-06 |
1104800846 | Tina K Monlezun | Nurse Practitioner | 328 Kellogg Ave, Lake Arthur, LA 70549-4116 | 2005-12-06 |
1558970335 | Kadie Verret | Nurse Practitioner | 328 Kellogg Ave, Lake Arthur, LA 70549-4116 | 2020-07-28 |
1134103708 | Constance M Darbonne | Nurse Practitioner | 328 Kellogg Ave, Lake Arthur, LA 70549-4116 | 2005-12-06 |
1609850270 | Lake Arthur Health Clinic LLC | Nurse Practitioner | 328 Kellogg Ave, Lake Arthur, LA 70549-4116 | 2005-12-06 |
1750739470 | Jennings American Legion Hospital | Nurse Practitioner | 328 Kellogg Ave, Lake Arthur, LA 70549-4502 | 2016-06-03 |
Find all providers in zip 70549 |
Taxonomy Code | 246ZC0007X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Specialist/Technologist, Other |
Specialization | Surgical Assistant |
A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043858509 | Karen Lynn Basham | Specialist/Technologist, Other | 14141 Azalea Park Ave Apt C, Baton Rouge, LA 70816-1674 | 2019-12-16 |
1245876176 | Bernarda Antonieta Cedano Ramirez | Specialist/Technologist, Other | 4337 Cole Pl, Shreveport, LA 71109-6604 | 2019-11-26 |
1710528427 | Shelby Fabre | Specialist/Technologist, Other | 1442 S Acadian Thruway, Baton Rouge, LA 70808-1182 | 2019-10-03 |
1962962852 | Sabrina Anne Theriot | Specialist/Technologist, Other | 444 S 5th St, Ponchatoula, LA 70454-2712 | 2019-03-25 |
1376037994 | Pamela Ann Bernabo | Specialist/Technologist, Other | 80 Maison Drive, Covington, LA 70433 | 2018-06-18 |
1730624495 | Connie Savoy | Specialist/Technologist, Other | 219 Bonnie Rd, Opelousas, LA 70570-0856 | 2017-01-04 |
1689119448 | Tavarius Walker | Specialist/Technologist, Other | 4010 Gibson St Apt 8624, New Orleans, LA 70122-1608 | 2017-01-03 |
1437516457 | Maria Fernanda Kazibutowski | Specialist/Technologist, Other | 4315 Houma Blvd Ste 304, Metairie, LA 70006-2944 | 2016-01-21 |
1629466321 | Joni Dolhonde | Specialist/Technologist, Other | 53493 Highway 433, Slidell, LA 70461-4719 | 2015-01-03 |
1740686740 | Gregory Allen Melder | Specialist/Technologist, Other | 2751 Albert L Bicknell Dr Ste 3a, Shreveport, LA 71103-3976 | 2014-11-18 |
Find all providers with the same taxonomy |
City | LAKE ARTHUR |
Zip Code | 70549 |
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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.