Shaelyn Broussard

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

1710 Plaza Way
Walla Walla, WA 99362-4362

Phone

(509) 529-4218

NPI assigned

Nov 9, 2018

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1541721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541721600000",
    "number": "1770051583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 N COLLEGE AVE APT B",
            "city": "COLLEGE PLACE",
            "state": "WA",
            "postal_code": "993241047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 PLAZA WAY",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993624362",
            "telephone_number": "509-529-4218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUSSARD",
        "first_name": "SHAELYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-09",
        "last_updated": "2018-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alayna M Brinton, MSW, LICSW
• Parker Brooke, MSCPCC, AAC, SUDP
• Hailey Rae Brooks
• Jeannine Broome, PT
• Bradford J Brouillette, PT
• Cynthia Brown, MA, CCC-SLP
• Darlene Turner Brown, ARNP
• Eric Trent Brown, M.D.
• Lori Alborn Brown, MD
• Mark Gregory Brown, ED.D.

• Social Worker in Walla Walla, WA
• Providers in Walla Walla, WA by specialty
• Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2018; 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.