Juliette R. Broussard, MSN, RN, FNPC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

651610 Issued in TX

Practice address

810 Hospital Dr
Suite 100
Beaumont, TX 77701-4600

Phone

(409) 833-0342

Fax

(409) 242-6038

NPI assigned

Apr 27, 2007

Last updated

Mar 17, 2018By the provider in NPPES

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

Enrolled in TX

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 1

Specialty

Nurse Practitioner

Education

University of Texas Medical Branch at Galveston, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Broussard Family Practice, PLLCGroup PAC ID 4385885672, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Beaumont Hospital Hospital, Beaumont, TX, CCN 450346
• Christus Southeast Texas- St Elizabeth Hospital, Beaumont, TX, CCN 450034

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

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.

• Broussard Family Practice, PLLC

  • Specialist
  • Beaumont, TX
  • NPI 1710320908
  Medicare reassignment Care Compare group NPD Authorized official
• Zest Family Medicine PLLC

  dba Pride Family Medicine

  • Family Nurse Practitioner
  • Cedar Park, TX
  • NPI 1780221598
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Hospitals of Southeast Texas

  dba Baptist Beaumont Hospital

  • General Acute Care Hospital
  • Beaumont, TX
  • NPI 1093744187
  Care Compare affiliation
• Christus Health Southeast Texas

  dba CHRISTUS Southeast Texas - St. Elizabeth

  • General Acute Care Hospital
  • Beaumont, TX
  • NPI 1679557888
  Care Compare affiliation

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1871713073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7096",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "77726",
            "telephone_number": "409-833-0342",
            "fax_number": "877-770-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 HOSPITAL DR",
            "address_2": "SUITE 100",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014600",
            "telephone_number": "409-833-0342",
            "fax_number": "409-242-6038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7675 Folsom Dr Ste 300B",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777067299",
            "country_code": "US",
            "telephone_number": "409-833-0342",
            "fax_number": "877-770-4091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROUSSARD",
        "first_name": "JULIETTE",
        "middle_name": "R.",
        "name_prefix": "Mrs.",
        "credential": "MSN, RN, FNPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "651610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Broussard Family Chiropractic, P.a.
• Broussard Family Practice, PLLC
• Aeris Broussard, MOT, OTR/L
• Amber Broussard, PMHNP
• James Coty Broussard, DC
• Kesha Broussard
• Rayfus Joseph Broussard, DDS
• Wendy L Broussard, OD
• Tonya Renee Brown-Nembhard, M.D.
• Bertron Brown, M.D.

• Nurse Practitioner in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.