Chelsea Brouillet, DNP, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11021290 Issued in FL

Practice address

8837 Goodbys Executive Dr
Jacksonville, FL 32217-4605

Phone

(904) 990-0555

NPI assigned

Aug 16, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IBJGBD
• FHIR API: https://fhir4.healow.com/fhir/r4/IBJGBD/Endpoint/IBJGBD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• First Choice Endocrinology LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Jacksonville, FL
  • NPI 1972067528
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1023736196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8837 GOODBYS EXECUTIVE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322174605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8837 GOODBYS EXECUTIVE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322174605",
            "telephone_number": "904-990-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUILLET",
        "first_name": "CHELSEA",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11021290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Brotherton
• Solomon G Brotman, D.D.S.
• Thomas Brott, MD
• Nanako Broughton, MD
• Rhonda Broughton, ARNP, FNP-C
• Sydney Broussard
• Joanne Lynn Brousseau, OT
• Tonia Brousseau, DO
• Brown Fertility Associates, P.a.
• Brown Girls Incorporation,LLC

• Family Nurse Practitioner in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.