Rebecca Brossard, RN, CNP

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R093550 Issued in AR

Practice address

411 Lentz Rd
Morrilton, AR 72110-3740

Phone

(501) 354-1170

NPI assigned

Nov 6, 2018

Last updated

Nov 6, 2018By 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 1

Addresses

Other names 1

• Rebecca Chenault Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Practitioner, Registered Nurse

State licenses

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

{
    "created_epoch": "1541462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541462400000",
    "number": "1851869093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 CREEKWOOD CV",
            "city": "MORRILTON",
            "state": "AR",
            "postal_code": "721108809",
            "telephone_number": "501-208-4631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 LENTZ RD",
            "city": "MORRILTON",
            "state": "AR",
            "postal_code": "721103740",
            "telephone_number": "501-354-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROSSARD",
        "first_name": "REBECCA",
        "name_prefix": "Mrs.",
        "credential": "RN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-06",
        "last_updated": "2018-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "R093550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "CHENAULT",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christian Drake Briggler, D.D.S
• Jackson Briggler, DDS
• Peggy Brimer, LPN PARAPROFESSIONAL
• Destiny Brock
• Karen Elizabeth Brosard, PTA
• Elizabeth Christine Browning, FNP-C
• Shalimar Bruce
• Shameka S Brunger
• James Goebel Bryan Jr., DDS
• Eric Burgener, PT, DPT

• Registered Nurse in Morrilton, AR
• Providers in Morrilton, AR by specialty
• Registered Nurse in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.