Individual provider Active NPI

Cassie Broussard, FNP-BC, PMHNP-BC DNP

  • Family Nurse Practitioner
  • Lafayette, LA
National Provider Identifier
1831567387
Registry record updated Mar 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP08875 Issued in LA
Practice address
100 Beauvais Ave Ste A2
Lafayette, LA 70507-2469
Phone
(318) 405-1026
Fax
(862) 298-0802
NPI assigned
Sep 14, 2015
Reactivated
Jul 1, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X AP08875 LA
Family Nurse Practitioner 363LF0000X AP128734 TX
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X AP08875 LA Primary

Addresses

Primary practice location

100 Beauvais Ave Ste A2
Lafayette, LA 70507-2469

Mailing address

1441 Mills Hwy
Breaux Bridge, LA 70517-7304
Phone (318) 405-1026

Other identifiers 1

IdentifierTypeStateIssuer
2470604MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, LA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160519000470 TX Practitioner - Nurse Practitioner 5597054254 Reassigns benefits to 2 organizations
I20180525000245 LA Practitioner - Nurse Practitioner 5597054254 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Senior Psychcare of Louisiana, LLCGroup PAC ID 0648651539, 8 clinicians

Practice addresses (Care Compare)

1441 Mills Hwy
Breaux Bridge, LA 70517-7304
Phone (337) 322-2347

1536 Claiborne Ave
Shreveport, LA 71103-4206
Phone (318) 631-3426

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP128734TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa of Texas PLLC Multi-Specialty CurrentSince Mar 1, 2021 Accepting new patients
Vpa of Texas PLLC Multi-Specialty Current Accepting new patients
Signify Health Medical Associates, PLLC Multi-Specialty CurrentSince Jun 1, 2020 Accepting new patients
Vpa of Texas PLLC Multi-Specialty CurrentSince Mar 1, 2021 Accepting new patients
Senior Psychcare of Louisiana, LLC Multi-Specialty CurrentSince Sep 8, 2025 Accepting new patients

Locations

3405 Mansfield Rd
Shreveport, LA 71103
Phone (318) 222-3100

1536 Claiborne Ave
Shreveport, LA 71103
Phone (318) 631-3426

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4635 Southwest Fwy
Ste 635
Houston, TX 77027
Phone (214) 923-7777

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772928000000",
    "number": "1831567387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 MILLS HWY",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "705177304",
            "telephone_number": "318-405-1026",
            "fax_number": "862-298-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BEAUVAIS AVE STE A2",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705072469",
            "telephone_number": "318-405-1026",
            "fax_number": "862-298-0802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUSSARD",
        "first_name": "CASSIE",
        "name_prefix": "Dr.",
        "credential": "FNP-BC, PMHNP-BC DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-14",
        "last_updated": "2026-03-08",
        "certification_date": "2026-03-08",
        "deactivation_date": "2022-06-01",
        "reactivation_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "AP08875",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP128734",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP08875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2470604",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.