Laverne Broussard

Primary specialty

ReflexologistTaxonomy code 173C00000X

Practice address

4300 S. I-10 Service Rd
Ste 101B
Metairie, LA 70001-7420

Phone

(504) 606-8738

Fax

(504) 304-4799

NPI assigned

Apr 27, 2010

Last updated

Apr 27, 2010By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1272326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272326400000",
    "number": "1578880753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 HOLMES BLVD",
            "city": "TERRYTOWN",
            "state": "LA",
            "postal_code": "700562747",
            "telephone_number": "504-606-8738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 S. I-10 SERVICE RD",
            "address_2": "STE 101B",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700017420",
            "telephone_number": "504-606-8738",
            "fax_number": "504-304-4799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUSSARD",
        "first_name": "LAVERNE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-27",
        "last_updated": "2010-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "LA",
            "license": "4320",
            "primary": false
        },
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney J Broussard, CRNA
• Crystal Broussard, PHD, LCSW
• Deborah Ann Broussard, O.D.
• Erika May Broussard, FNP
• Jamie W Broussard, MD
• Madeleine Marie Barbara Broussard
• Mandy L Broussard, CRNA
• Trella Simone Broussard
• Robert G Brousse, M.D.
• Melissa R. Brower, PA-C

• Reflexologist in Metairie, LA
• Providers in Metairie, LA by specialty
• Reflexologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; 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.