Emma Broussard
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Youngsville, LA
NPI 1134067929 · NPPES record last updated Mar 23, 2026
Key facts
- NPI
- 1134067929
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1504 Guillot Rd
Youngsville, LA 70592-6333 - Phone
- (337) 652-6591
- NPI assigned
- Mar 23, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260611004930 | LA | Order and Referring Only - Family Practice |
5092287862 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
1504 Guillot Rd
Youngsville, LA 70592-6333
Mailing address
1504 Guillot Rd
Youngsville, LA 70592-6333
Phone (337) 652-6591
Other providers in Youngsville, LA
- Shelby Boesch Breaux
- Naya Brooks
- Brookshire Grocery Company
- Amber Broussard
- Catherine Boudreaux Broussard
- Geraldlyn Broussard
- Haliegh Rae Broussard
- Hannah Marie Broussard
- Taylor Paige Broussard
- Aaliyah Brown
All providers in Youngsville, LA · Student in an Organized Health Care Education/Training Program in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.