Individual provider Active NPI

Jennifer Bernadette Broyard, MCD, CCC A/SLP

  • Audiologist
  • New Orleans, LA
National Provider Identifier
1346941176
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1245 Issued in LA
Practice address
2401 Westbend Pkwy
New Orleans, LA 70114-2458
Phone
(504) 931-6069
NPI assigned
Mar 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 1245 LA
Audiologist 231H00000X 1245 LA Primary

Addresses

Primary practice location

2401 Westbend Pkwy
New Orleans, LA 70114-2458

Mailing address

7441 Seven Oaks Rd
New Orleans, LA 70128-2230
Phone (504) 931-6069

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

LicenseStateTypeSpecialty
1245LAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1679011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1346941176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7441 SEVEN OAKS RD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701282230",
            "telephone_number": "504-931-6069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 WESTBEND PKWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701142458",
            "telephone_number": "504-931-6069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROYARD",
        "first_name": "JENNIFER",
        "middle_name": "BERNADETTE",
        "credential": "MCD, CCC A/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-17",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "1245",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "LA",
            "license": "1245",
            "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 Mar 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.