Active NPI
Shameeca Broussard
- Driver
- Lafayette, LA
National Provider Identifier
1235018482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- Practice address
- 138 Gallian St
Lafayette, LA 70501-6425 - Phone
- (337) 422-7871
- Fax
- (337) 770-2696
- NPI assigned
- Sep 1, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Driver | 172A00000X | LA | Primary |
Addresses
Primary practice location
138 Gallian St
Lafayette, LA 70501-6425
Mailing address
PO Box 91246
Lafayette, LA 70509-1246
Phone (337) 422-7871
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mile Marker Medical Transportation LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Non-emergency Medical Transport (VAN)
- Lafayette, LA
- NPI 1558162958
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756684800000",
"number": "1235018482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 91246",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705091246",
"telephone_number": "337-422-7871",
"fax_number": "337-770-2696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "138 GALLIAN ST",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705016425",
"telephone_number": "337-422-7871",
"fax_number": "337-770-2696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROUSSARD",
"first_name": "SHAMEECA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-09-01",
"last_updated": "2025-09-01",
"certification_date": "2025-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "LA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.