PRIORITY PSYCHIATRIC SERVICES LLC (NPI# 1235451568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235451568 |
| Entity Type | Organization |
| Organization Name | PRIORITY PSYCHIATRIC SERVICES LLC |
| Practice Address |
805 Albertson Pkwy Ste A Broussard LA 70518-4350 |
| Mailing Address |
Po Box 1317 Broussard LA 70518-1317 |
| Practice Telephone | 3373304730 |
| Practice Fax Number | 3373304732 |
| Mailing Telephone | 3373304730 |
| Mailing Fax Number | 3373304732 |
| Enumeration Date | 2010-03-01 |
| Last Update Date | 2016-01-28 |
| Authorized Official Name | AIMEE C BROUSSARD (OWNER) |
| Authorized Official Telephone | 3373304730 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN094687-AP06057 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2100190 | 05 |
| Street Address |
805 ALBERTSON PKWY STE A |
| City | BROUSSARD |
| State | LA |
| Zip Code | 70518-4350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710209044 | Aimee C Broussard | Nurse Practitioner | 805 Albertson Pkwy Ste A, Broussard, LA 70518-4350 | 2010-03-01 |
| 1538440094 | Amber P Littlefield | Nurse Practitioner | 805 Albertson Pkwy Ste A, Broussard, LA 70518-4350 | 2011-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356906911 | Allied Medicine Inc | Clinic/Center | 620 Bayou Tortue, Rd Suite 1, Broussard, LA 70518 | 2019-05-08 |
| 1578978664 | .tammy Richert | Durable Medical Equipment & Medical Supplies | 202 W Fairfield Dr, Broussard, LA 70518 | 2014-06-26 |
| 1104144245 | Brad Joseph Fanguy | Pharmacist | 102 Bentwater Dr, Broussard, LA 70518 | 2010-05-13 |
| 1891948642 | Dick Steven Guillory | General Practice | 805 Albertson Pkwy Ste C, Broussard, LA 70518 | 2008-10-24 |
| 1235381575 | National Seating & Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 207 Roto Park Drive, Broussard, LA 70518 | 2008-10-17 |
| 1669685087 | Alison Mcclendon Charpentier | Speech-Language Pathologist | 115 Still Waters Rd., Broussard, LA 70518 | 2007-05-08 |
| 1174561526 | Inzerella Physical Therapy | Physical Therapist | 803 South Morgan Ave, Broussard, LA 70518 | 2006-06-04 |
| 1851341432 | Oceans Behavioral Hospital of Lafayette LLC | Psychiatric Hospital | 418 Albertson Parkway, Broussard, LA 70518 | 2006-05-12 |
| 1023068335 | Louisiana Guest House LLC | Skilled Nursing Facility | 418 Albertsons Parkway, Broussard, LA 70518 | 2006-05-10 |
| 1124084520 | Glenn Charles Lafleur | Family Medicine | 317 Opus One Dr, Broussard, LA 70518 | 2006-04-25 |
| Find all providers in zip 70518 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710209044 | Aimee C Broussard | Nurse Practitioner | 805 Albertson Pkwy Ste A, Broussard, LA 70518-4350 | 2010-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972113124 | Rebirth Mental Health Services LLC | Nurse Practitioner | 2116 Gause Blvd W Ste E, Slidell, LA 70460-4120 | 2020-08-03 |
| 1427668748 | Julie Susann Dyrek | Nurse Practitioner | 1 Lakeshore Dr Ste 1830, Lake Charles, LA 70629-0114 | 2020-08-01 |
| 1376169979 | Nancy Ariwodo | Nurse Practitioner | 225 Rue La France, Lafayette, LA 70508-1565 | 2020-06-19 |
| 1578183208 | Donald Glyn Gardner II | Nurse Practitioner | 324 Blue Fox Cir, Haughton, LA 71037-7707 | 2020-04-22 |
| 1629604129 | Raelyn Marie Plauche | Nurse Practitioner | 1951 Florida Ave Sw Ste D&e, Denham Springs, LA 70726-4947 | 2020-03-16 |
| 1962035964 | Tyler Trenton Wansley | Nurse Practitioner | 23515 Us-190, Mandeville, LA 70448 | 2020-02-18 |
| 1114558715 | Danielle J Threatts Aprn LLC | Nurse Practitioner | 208 W Gloria Switch Rd Ste 219, Lafayette, LA 70507-3409 | 2020-02-01 |
| 1992359848 | Harold G Frizzell Psychiatric Services LLC | Nurse Practitioner | 300 Thompson Loop, Lafayette, LA 70506-2820 | 2019-07-29 |
| 1598227779 | Candyce Brown | Nurse Practitioner | 333 Dr Michael Debakey Dr Ste 220, Lake Charles, LA 70601-5888 | 2019-04-04 |
| 1659835346 | Cassandra Thomas-jingles Psychiatric Nurse Practitioner, LLC. | Nurse Practitioner | 156 Mcgehee Dr, Baton Rouge, LA 70815-5012 | 2019-01-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.