Natalie Broussard, N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN117467-AP06546 Issued in LA

Practice address

4809 Ambassador Caffery Pkwy
Suite 110
Lafayette, LA 70508-8800

Phone

(337) 235-7898

Fax

(337) 235-7445

NPI assigned

Jul 21, 2011

Last updated

Jul 21, 2011By 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

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Acadiana Family Physicians, Inc., a.P.M.C.Group PAC ID 5193914927, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ochsner Lafayette General Medical Center Hospital, Lafayette, LA, CCN 190002

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.

• Acadiana Family Physicians, Inc., a.P.M.C.

  • Family Medicine Physician
  • Lafayette, LA
  • NPI 1629095518
  Medicare reassignment Care Compare group NPD
• Lourdes Physician Group LLC

  • Family Medicine Physician
  • Lafayette, LA
  • NPI 1437405883

  Nurse Practitioner

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lafayette General Medical Center Inc

  • General Acute Care Hospital
  • Lafayette, LA
  • NPI 1275536799
  Care Compare affiliation

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311206400000",
    "number": "1487942603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4809 AMBASSADOR CAFFERY PKWY",
            "address_2": "SUITE 110",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705088800",
            "telephone_number": "337-235-7898",
            "fax_number": "337-235-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4809 AMBASSADOR CAFFERY PKWY",
            "address_2": "SUITE 110",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705088800",
            "telephone_number": "337-235-7898",
            "fax_number": "337-235-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUSSARD",
        "first_name": "NATALIE",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-21",
        "last_updated": "2011-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "RN117467-AP06546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Elizabeth Broussard, B.A., B.S.
• Melanie Cavalier Broussard
• Mitchell Neil Broussard, O.D.
• Morgan Broussard, SLP
• Nancy Rebecca Fisher Broussard, OD
• Patricia Broussard
• Preston Broussard
• Qiana Broussard
• Rachel Lacy Broussard, LCSW
• Reanne Broussard

• Family Nurse Practitioner in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.