Active NPI
Rita Broughton, LPN
- Licensed Practical Nurse
- Metairie, LA
National Provider Identifier
1073063475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 20142574
- Practice address
- 4933 Wabash St
Metairie, LA 70001-1031 - Phone
- (504) 780-2766
- Fax
- (504) 780-9699
- NPI assigned
- Oct 10, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 20142574 | LA | Primary |
Addresses
Primary practice location
4933 Wabash St
Metairie, LA 70001-1031
Mailing address
3726 N Loyola Dr Apt 243
Kenner, LA 70065-7741
Phone (985) 502-0332
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20142574 | LA | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476057600000",
"number": "1073063475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3726 N LOYOLA DR APT 243",
"city": "KENNER",
"state": "LA",
"postal_code": "700657741",
"telephone_number": "985-502-0332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4933 WABASH ST",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700011031",
"telephone_number": "504-780-2766",
"fax_number": "504-780-9699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROUGHTON",
"first_name": "RITA",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-10",
"last_updated": "2016-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "LA",
"license": "20142574",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Metairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.