Magan Broussard

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

RN134491 Issued in LA

Practice address

715B Weldon St
New Iberia, LA 70560-4861

Phone

(337) 373-0021

Fax

(337) 364-4897

NPI assigned

Feb 24, 2017

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Louisiana Department of Health - Office of Public Health

  dba Office of Public Health

  • Public Health or Welfare Agency
  • Baton Rouge, LA
  • NPI 1396316212
  NPD (past)
• Office of Public Health Louisiana

  • Registered Dietitian
  • New Iberia, LA
  • NPI 1942555255
  NPD (past)

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

{
    "created_epoch": "1487894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487894400000",
    "number": "1689114688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715B WELDON ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705604861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715B WELDON ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705604861",
            "telephone_number": "337-373-0021",
            "fax_number": "337-364-4897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUSSARD",
        "first_name": "MAGAN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-24",
        "last_updated": "2017-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "LA",
            "license": "RN134491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harold Joseph Broussard, PA
• James R Broussard, LCSW
• Jeremy Broussard, D.C.
• Julie Broussard, RPH
• Lena Broussard
• Paul W Broussard, CRNA
• Broussards Pharmacy of New Iberia Inc (Broussards Pharmacy)
• Deja Brown
• Demerit Brown
• Jill G Brown, MD

• Community Health Registered Nurse in New Iberia, LA
• Providers in New Iberia, LA by specialty
• Community Health Registered Nurse in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2017; 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.