Active NPI
Southeast Louisiana Veterans Healthcare System
- Clinic/Center
- New Orleans, LA
National Provider Identifier
1083795991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- LT1561
- Legal business name
- SOUTHEAST LOUISIANA VETERANS HEALTHCARE SYSTEM
- Practice address
- 1601 Perdido St,
New Orleans, LA 70112 - Phone
- (504) 568-0811
- NPI assigned
- Oct 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Glenn Joseph Brousseau
- Title
- Certified Respiratory Therapy Tech
- Phone
- (504) 948-9809
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | LT1561 | LA | Primary |
Addresses
Primary practice location
1601 Perdido St,
New Orleans, LA 70112
Mailing address
3403 Allen St.
New Orleans, LA 70111-2913
Phone (504) 948-9809
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Certified Respiratory Therapist
- New Orleans, LA
- NPI 1083798177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214438400000",
"number": "1083795991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3403 ALLEN ST.",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701112913",
"telephone_number": "504-948-9809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 PERDIDO ST,",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "70112",
"telephone_number": "504-568-0811"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHEAST LOUISIANA VETERANS HEALTHCARE SYSTEM",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-18",
"last_updated": "2008-06-26",
"status": "A",
"authorized_official_last_name": "BROUSSEAU",
"authorized_official_first_name": "GLENN",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "CERTIFIED RESPIRATORY THERAPY TECH",
"authorized_official_telephone_number": "504-948-9809",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "LA",
"license": "LT1561",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.