Individual provider Active NPI

Samantha Broussard Husser, BA, IBCLC

  • Lactation Consultant (Non-RN)
  • Covington, LA
National Provider Identifier
1679200125
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
L-306085 Issued in LA
Practice address
717 Deer Fork Xing
Covington, LA 70435-7013
Phone
(985) 789-2542
NPI assigned
Aug 4, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X L-306085 LA Primary

Addresses

Primary practice location

717 Deer Fork Xing
Covington, LA 70435-7013

Mailing address

717 Deer Fork Xing
Covington, LA 70435-7013
Phone (985) 789-2542

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address samantha@nurturelactationla.com Direct

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
Credentials
Bachelor of Arts

State licenses

LicenseStateTypeSpecialty
L-306085LAMDLactation Consultant (Non-RN)

NPI Registry JSON

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

{
    "created_epoch": "1659571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660694400000",
    "number": "1679200125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 DEER FORK XING",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704357013",
            "telephone_number": "985-789-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 DEER FORK XING",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704357013",
            "telephone_number": "985-789-2542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSER",
        "first_name": "SAMANTHA",
        "middle_name": "BROUSSARD",
        "credential": "BA, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-04",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "LA",
            "license": "L-306085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "samantha@nurturelactationla.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "717 Deer Fork XIng",
            "city": "Covington",
            "state": "LA",
            "country_code": "US",
            "postal_code": "70435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; 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.