LAURA BROUSSARD (NPI# 1629512389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629512389 |
| Entity Type | Individual |
| Full Name | LAURA BROUSSARD |
| Practice Address |
100 Asma Blvd Lafayette LA 70508 |
| Mailing Address |
100 Asma Blvd Ste 200 Lafayette LA 70508-3868 |
| Practice Telephone | 3374567880 |
| Mailing Telephone | 8327217258 |
| Enumeration Date | 2016-12-14 |
| Last Update Date | 2018-05-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 315 S College Rd, Lafayette, LA 705033212 | 3374567880 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882248 | Laura Gisclair Broussard | Speech-Language Pathologist | 6910 Sandwedge Point Ct, Spring, TX 77389-4007 | 2019-10-11 |
| 1174632954 | Laura Broussard | Nurse Practitioner | 103 Camelia St, Royal City, WA 99357 | 2006-08-29 |
| Street Address |
100 ASMA BLVD |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659372134 | Julia Kathleen Bull | Nurse Practitioner | 100 Asma Blvd, Bldg 1, Suite 205, Lafayette, LA 70508-3858 | 2005-08-09 |
| 1790339240 | Devin Dorian Parker | Case Manager/Care Coordinator | 100 Asma Blvd, Ste. 200, Lafayette, LA 70508-3868 | 2019-08-01 |
| 1013381615 | Valerie Simon | Case Manager/Care Coordinator | 100 Asma Blvd, Lafayette, LA 70508 | 2015-11-19 |
| 1326325127 | Geriatric Psychological Services of Louisiana Apc | Psychologist | 100 Asma Blvd, Suite 237e, Lafayette, LA 70508-3858 | 2011-11-08 |
| 1487890448 | David Paul Wyman | Counselor | 100 Asma Blvd, Lafayette, LA 70508-3858 | 2008-12-22 |
| 1548314495 | Matthew Mack Abraham, LLC | Internal Medicine | 100 Asma Blvd, Bldg One, Ste 205, Lafayette, LA 70508-3858 | 2007-01-22 |
| 1174511794 | Matthew Mack Abraham | Family Medicine | 100 Asma Blvd, Suite 205, Lafayette, LA 70508-3858 | 2005-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868676 | Cypress Bend Oral & Maxillofacial Surgery | Dentist | 106 Rue Bastille, Lafayette, LA 70508 | 2020-07-13 |
| 1184250607 | Learning Grove Therapy LLC | Clinic/Center | 105 Anaheim Lane, Lafayette, LA 70508 | 2020-03-16 |
| 1780218727 | Jennifer Trumps | Case Manager/Care Coordinator | 200 Entergy Parkway, Lafayette, LA 70508 | 2020-02-28 |
| 1740749605 | Hunter Sy Arceneaux | Physical Therapist | 1700 Kaliste Saloom Road, Building 3, Suite 300, Lafayette, LA 70508 | 2019-03-19 |
| 1295292787 | Brad Michael Gros | Counselor | 160 South Beadle Road, Lafayette, LA 70508 | 2019-02-21 |
| 1205337581 | Alternative Perspectives, LLC | Clinic/Center | 2807 Kaliste Saloom Rd Ste B, Lafayette, LA 70508 | 2018-02-22 |
| 1124528807 | Zachariah James Hebert | Counselor | 1602 W Pinhook Rd Suite 100a, The Family Tree, Lafayette, LA 70508 | 2018-02-19 |
| 1164934477 | Ilyas Munshi, Md Apmc | Non-Pharmacy Dispensing Site | 99 W. Martial Ave, Lafayette, LA 70508 | 2017-10-26 |
| 1447761226 | Louisiana Orthopaedic Specialists, LLC | Durable Medical Equipment & Medical Supplies | 4231 Ambassador Caffery Pkwy, Suite 102, Lafayette, LA 70508 | 2017-10-19 |
| 1306365457 | Mk Dixon Counseling and Consulting | Counselor | 105 Industrial Parkway, Lafayette, LA 70508 | 2017-09-10 |
| Find all providers in zip 70508 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043817331 | Wanda Frazier | Case Manager/Care Coordinator | 203 Robert Lee Cir, Lafayette, LA 70506-3130 | 2020-10-08 |
| 1053925891 | Tiesha Sheridan | Case Manager/Care Coordinator | 201 Pavilion St, Lafayette, LA 70507-2691 | 2020-08-31 |
| 1821608621 | Dana St Julien | Case Manager/Care Coordinator | 103 Whirlaway Drive, Lafayette, LA 70507-2592 | 2020-08-06 |
| 1023636032 | Kayla Lynn Falgout | Case Manager/Care Coordinator | 112 Hillside Dr Apt 36, Lafayette, LA 70503-2837 | 2020-07-07 |
| 1437772258 | Cristian Jose Leopoldo Caraballo Rodriguez | Case Manager/Care Coordinator | 2509 Johnston St Apt 7-06, Lafayette, LA 70503-3261 | 2020-05-27 |
| 1124649371 | Jean Harford | Case Manager/Care Coordinator | 415 N 26th St Ste 102, Lafayette, IN 47904-2855 | 2020-04-29 |
| 1780218727 | Jennifer Trumps | Case Manager/Care Coordinator | 200 Entergy Parkway, Lafayette, LA 70508 | 2020-02-28 |
| 1700410925 | Ireland Williams | Case Manager/Care Coordinator | 201 High Meadows Blvd Apt 116, Lafayette, LA 70507-3454 | 2020-02-26 |
| 1619508173 | Erik Narcisse | Case Manager/Care Coordinator | 1318 Lee Ave Apt A8, Lafayette, LA 70506-3663 | 2020-02-03 |
| 1841821899 | Bailey Derrion Valentine | Case Manager/Care Coordinator | 1400 N Bertrand Dr Apt 5111, Lafayette, LA 70506-3066 | 2020-01-29 |
| Find all providers in LAFAYETTE | ||||
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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.