Individual provider Active NPI

Sean Brazeel, AUD

  • Audiologist
  • Metairie, LA
National Provider Identifier
1386204733
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
8367 Issued in LA
Practice address
3330 Lake Villa Dr Ste 100
Metairie, LA 70002-4352
Phone
(504) 889-5339
Fax
(504) 454-6692
NPI assigned
Jun 18, 2019
Last updated
Jun 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X NU
Audiologist 231H00000X 8367 LA Primary

Addresses

Primary practice location

3330 Lake Villa Dr Ste 100
Metairie, LA 70002-4352

Mailing address

3330 Lake Villa Dr Ste 100
Metairie, LA 70002-4352
Phone (318) 537-3498

Other practice location 1

5001 Highway 190 East Service Rd Ste B4
Covington, LA 70433-4999
Phone (985) 867-8151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220511002825 LA Practitioner - Qualified Audiologist 1951788017 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8367LAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Creel Hearing Center, L.L.C. Audiologist CurrentSince Jan 22, 2022 Accepting new patients
Creel Hearing Center, LLC CurrentSince Jan 22, 2022 Accepting new patients

Locations

5001 Highway 190 East Service Rd
Ste B4
Covington, LA 70433
Phone (985) 867-8151

3330 Lake Villa Dr
Ste 100
Metairie, LA 70002
Phone (504) 889-5339

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1386204733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 LAKE VILLA DR STE 100",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700024352",
            "telephone_number": "318-537-3498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 LAKE VILLA DR STE 100",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700024352",
            "telephone_number": "504-889-5339",
            "fax_number": "504-454-6692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5001 Highway 190 East Service Rd Ste B4",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "LA",
            "postal_code": "704334999",
            "country_code": "US",
            "telephone_number": "985-867-8151",
            "fax_number": "985-867-8150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAZEEL",
        "first_name": "SEAN",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-18",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "LA",
            "license": "8367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.