MRS. AMY L BROUSSARD


Address: 1117 Eighth St, Lake Arthur, LA 70549-3401
Phone: 3375019813

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 246ZC0007X Specialist/Technologist, Other
Specialization: Surgical Assistant
Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 1117 EIGHTH ST
City LAKE ARTHUR
State LA
Zip Code 70549-3401

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 246ZC0007X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Specialist/Technologist, Other
Specialization Surgical Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and state

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
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Competitor

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City LAKE ARTHUR
Zip Code 70549

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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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