Taressa Anne Broussard, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP09838 Issued in LA

Practice address

7777 Hennessy Blvd Ste 6000
Baton Rouge, LA 70808-4366

Phone

(225) 757-0343

Fax

(225) 757-8354

NPI assigned

Apr 23, 2018

Last updated

Oct 3, 2024By the provider in NPPES

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 LA

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

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

• Vascular Specialty Center LLC

  • Vascular Surgery Physician
  • Baton Rouge, LA
  • NPI 1730410408
  Medicare reassignment NPD
• Vascular Specialty Center LLC

  • Vascular Surgery Physician
  • Baton Rouge, LA
  • NPI 1932525094
  NPD
• American Oncology Partners, P.a.

  dba Hematology Oncology Clinic

  • Hematology & Oncology Physician
  • Zachary, LA
  • NPI 1659867265
  NPD (past)

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

{
    "created_epoch": "1524441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1205323524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "225-757-0343",
            "fax_number": "225-765-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 HENNESSY BLVD STE 6000",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084366",
            "telephone_number": "225-757-0343",
            "fax_number": "225-757-8354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8585 Picardy Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708093749",
            "country_code": "US",
            "telephone_number": "257-670-8222",
            "fax_number": "225-769-5424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROUSSARD",
        "first_name": "TARESSA",
        "middle_name": "ANNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-23",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP09838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Bankston Broussard, M.D.
• Peggy Broussard, LPC
• Ranisa Washington Broussard
• Ryan Chase Broussard, PHARMD
• Shelby Broussard
• Thad Stephens Broussard, M.D.
• Yvette Hardy Broussard, RNFA
• Jessica Lynn Brousse, NP
• Margaret Elizabeth Browder, APRN
• Robert Dwight Brower, MD

• Nurse Practitioner in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.