JOANNA N BROUSSARD (NPI# 1346856176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346856176 |
| Entity Type | Individual |
| Full Name | JOANNA N BROUSSARD |
| Practice Address |
14216 Ne 21st St Bellevue WA 98007-3720 |
| Mailing Address |
6400 Southcenter Blvd Tukwila WA 98188-2547 |
| Practice Telephone | 4256534900 |
| Mailing Telephone | 2069012000 |
| Mailing Fax Number | 2069012010 |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2020-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
14216 NE 21ST ST |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98007-3720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588725444 | Teofilo Ramirez Jr. | Counselor | 14216 Ne 21st St, Bellevue, WA 98007-3720 | 2006-12-13 |
| 1730787623 | Jennifer A Davis | Counselor | 14216 Ne 21st St, Bellevue, WA 98007-3720 | 2020-10-13 |
| 1447858337 | Bethany M Tatum | Counselor | 14216 Ne 21st St, Bellevue, WA 98007-3720 | 2020-10-13 |
| 1013522598 | Anna A Babcock | Counselor | 14216 Ne 21st St, Bellevue, WA 98007-3720 | 2020-09-11 |
| 1871105239 | Angeline Johnston | Counselor | 14216 Ne 21st St, Bellevue, WA 98007-3720 | 2020-08-18 |
| 1447868740 | Ruth M Tito | Counselor | 14216 Ne 21st St, Bellevue, WA 98007-3720 | 2020-07-22 |
| 1427676105 | Ashbey D Antley | Counselor | 14216 Ne 21st St, Bellevue, WA 98007-3720 | 2020-07-09 |
| 1295353977 | Charlotta G Gustafsson | Counselor | 14216 Ne 21st St, Bellevue, WA 98007-3720 | 2020-07-09 |
| 1922623693 | Sarah Weber | Counselor | 14216 Ne 21st St, Bellevue, WA 98007-3720 | 2020-06-09 |
| 1780205989 | Francis J Killory | Counselor | 14216 Ne 21st St, Bellevue, WA 98007-3720 | 2020-04-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204947 | Janet Delgado | Interpreter | 3000 Landerholm Cir Se, Bellevue, WA 98007 | 2020-10-29 |
| 1467092643 | Stephanie Schaal | Counselor | 15395 Se 30th Place Ste 120, Bellevue, WA 98007 | 2020-01-15 |
| 1740824358 | Alison Elizabeth Campbell | Massage Therapist | 14575 Ne Bel Red Rd Ste 100, Bellevue, WA 98007 | 2019-11-06 |
| 1275188021 | Pacific Coast Health Care, Pllc | Internal Medicine | Mission Healthcare At Bellevue, 2424 156th Avenue Ne, Bellevue, WA 98007 | 2019-08-08 |
| 1417475054 | Terasak Roeksbutr | Dietitian, Registered | 109 146th Ave Se, Bellevue, WA 98007 | 2017-09-04 |
| 1083130934 | Po-lung Wu | Acupuncturist | 693 156th Ave Se, Bellevue, WA 98007 | 2017-08-22 |
| 1689117319 | Audrey K. Tatt D.d.s. P.l.l.c. | Dentist | 15419 Ne 20th St. #206, Bellevue, WA 98007 | 2016-11-29 |
| 1952751836 | Mona Ebrahimi | Student in an Organized Health Care Education/Training Program | 14270 Ne 21st, Rainbow Creek, Bellevue, WA 98007 | 2016-06-21 |
| 1578939302 | Walgreen | Student in an Organized Health Care Education/Training Program | 15220 156th Ne, Bellevue, WA 98007 | 2015-08-17 |
| 1750767406 | Anar Veliyev | Physical Therapist | 14828 Ne 12th St, Bellevue, WA 98007 | 2015-08-05 |
| Find all providers in zip 98007 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033724968 | Julia Yunkyung Yi | Student in an Organized Health Care Education/Training Program | 527 Bellevue Way Se Apt 203, Bellevue, WA 98004-6684 | 2020-09-08 |
| 1366055113 | Diana Spann | Student in an Organized Health Care Education/Training Program | 702 141st Ln Se, Bellevue, WA 98007-6764 | 2020-08-30 |
| 1558986356 | Malika Jhawar | Student in an Organized Health Care Education/Training Program | 5613 167th Pl Se, Bellevue, WA 98006-5543 | 2020-06-08 |
| 1760020341 | Ismael Chaparro De La O | Student in an Organized Health Care Education/Training Program | 1004 Kauii Dr, Bellevue, NE 68005-4135 | 2019-12-14 |
| 1528590791 | Jennifer Moon | Student in an Organized Health Care Education/Training Program | 2308 128th Ave Se, Bellevue, WA 98005-4238 | 2017-03-28 |
| 1952751836 | Mona Ebrahimi | Student in an Organized Health Care Education/Training Program | 14270 Ne 21st, Rainbow Creek, Bellevue, WA 98007 | 2016-06-21 |
| 1578939302 | Walgreen | Student in an Organized Health Care Education/Training Program | 15220 156th Ne, Bellevue, WA 98007 | 2015-08-17 |
| 1891172409 | Nicholas Michael | Student in an Organized Health Care Education/Training Program | 3500 Factoria Blvd Se, Bellevue, WA 98006-5276 | 2015-05-04 |
| 1427466580 | Katherine Emily White | Student in an Organized Health Care Education/Training Program | 15031 Se 65th St, Bellevue, WA 98006-5015 | 2014-07-31 |
| 1265856041 | Beau Frederick Mar Chiba | Student in an Organized Health Care Education/Training Program | 6140 156th Pl Se, Bellevue, WA 98006-5308 | 2014-02-13 |
| Find all providers in BELLEVUE | ||||
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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.