MS. MARLA BROUSSARD (NPI# 1659601607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659601607 |
| Entity Type | Individual |
| Full Name | MS. MARLA BROUSSARD |
| Credential | CRNA |
| Practice Address |
816 Independence Blvd Ste. 2a Virginia Beach VA 23455-6010 |
| Practice Telephone | 7573636230 |
| Practice Fax Number | 7573636204 |
| Mailing Telephone | 7573636230 |
| Mailing Fax Number | 7573636204 |
| Enumeration Date | 2010-01-13 |
| Last Update Date | 2011-06-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 0024169450 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | 079980 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TX NURSING LICENSE | 768704 | 01 |
| CRNA LICENSE NUMBER | 079980 | 01 |
| Street Address |
816 INDEPENDENCE BLVD STE. 2A |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23455-6010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326034794 | Pamela S Whiting Evans | Psychiatry & Neurology | 816 Independence Blvd, Suite 2h, Virginia Beach, VA 23455 | 2005-09-21 |
| 1528668506 | Lauren Leizear | Physical Medicine & Rehabilitation | 816 Independence Blvd, Virginia Beach, VA 23455-6010 | 2020-10-28 |
| 1801236286 | Comprehensive Spine & Pain Management | Physical Medicine & Rehabilitation | 816 Independence Blvd, Suite #2c, Virginia Beach, VA 23455-6010 | 2013-06-28 |
| 1073951299 | Sentara Medical Group | Internal Medicine | 816 Independence Blvd, Ste 2h, Virginia Beach, VA 23455-6010 | 2013-06-10 |
| 1134478126 | Jeannette M Hollowell | Registered Nurse | 816 Independence Blvd, Ste 2g, Virginia Beach, VA 23455-6010 | 2012-09-05 |
| 1073824512 | Jan Alice James | Physician Assistant | 816 Independence Blvd, Suite 100, Virginia Beach, VA 23455-6010 | 2010-06-30 |
| 1306174891 | Dede Jennifer Jeanette Hester | Registered Nurse | 816 Independence Blvd, Ste 2a, Virginia Beach, VA 23455-6010 | 2009-11-23 |
| 1215178348 | Dave L Gembel | Nurse Anesthetist, Certified Registered | 816 Independence Blvd, Ste 2a, Virginia Beach, VA 23455-6010 | 2009-03-19 |
| 1619114121 | Princess Anne Surgery, P.C. | Surgery | 816 Independence Blvd, Suite 3l, Virginia Beach, VA 23455-6010 | 2009-01-21 |
| 1326202961 | Peter H. Tait | Internal Medicine | 816 Independence Blvd, Suite 1h, Virginia Beach, VA 23455-6010 | 2008-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093324162 | Evoscient Gynecology Center for Pelvic Health and Surgery, PC | Obstetrics & Gynecology | 108 Independence Blvd, Suite 162, Virginia Beach, VA 23455 | 2020-07-24 |
| 1942728571 | Delois L Dillard | Occupational Therapy Assistant | 4225 Shore Drive, Virginia Beach, VA 23455 | 2017-09-04 |
| 1295255404 | Unobs Medical Transportation Services LLC | Non-emergency Medical Transport (VAN) | 5812 Tajo Avenue, Virginia Beach, VA 23455 | 2017-06-20 |
| 1831640812 | Wearefit | Dietitian, Registered | 4752 Hollis Road, Virginia Beach, VA 23455 | 2016-10-14 |
| 1629496633 | Jamie Lauren Dermatis | Podiatrist | 1700 Pleasure Road, #101, Virginia Beach, VA 23455 | 2014-04-07 |
| 1619304664 | Syed A Absar | Pharmacist | 4828 Lake Bradford Lane, Virginia Beach, VA 23455 | 2013-10-07 |
| 1851734958 | Cara K Richardson | Occupational Therapist | 2364 Madison Ave., Virginia Beach, VA 23455 | 2013-04-09 |
| 1811249287 | Chl & Associates | Nurse Practitioner | 1367 Sir Richard Rd, Virginia Beach, VA 23455 | 2012-10-10 |
| 1588915425 | Edward S Wilson | Physician Assistant | 604 Bishop Dr, Virginia Beach, VA 23455 | 2012-10-01 |
| 1073886842 | April Gilbrech | Registered Nurse | 1103 Canopy Ct, Virginia Beach, VA 23455 | 2012-02-09 |
| Find all providers in zip 23455 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700444510 | Brandi Alford | Nurse Anesthetist, Certified Registered | 1110 Arlynn Ln, Virginia Beach, VA 23451-5571 | 2019-06-05 |
| 1275070740 | Anesthesia Care, Inc. | Nurse Anesthetist, Certified Registered | 4148 Gum Bridge Ct, Virginia Beach, VA 23457-1593 | 2017-01-23 |
| 1407033723 | John O. Bennett | Nurse Anesthetist, Certified Registered | 4104 Water Oak Pl, Virginia Beach, VA 23452-2124 | 2008-01-29 |
| 1306857479 | Joanne Frances Smith | Nurse Anesthetist, Certified Registered | 908 Pillow Dr, Virginia Beach, VA 23454-2640 | 2006-08-11 |
| 1639187446 | Jonathan Cotton | Nurse Anesthetist, Certified Registered | 816 Independence Blvd Ste 2g, Virginia Beach, VA 23455-6010 | 2006-08-04 |
| 1700809258 | Carol Jutras Wade | Nurse Anesthetist, Certified Registered | 1975 Glenn Mitchell Dr Ste 300, Virginia Beach, VA 23456-0167 | 2006-07-25 |
| 1104849652 | Elizabeth P. O'connor | Nurse Anesthetist, Certified Registered | 1925 Glenn Mitchell Drive, Suite 102, Gastroenterology Consultants, Virginia Beach, VA 23456 | 2006-07-25 |
| 1740234020 | David Owen Dick | Nurse Anesthetist, Certified Registered | 1504 Cornwell Ln, Virginia Beach, VA 23454-2517 | 2006-05-20 |
| 1033185905 | Anne Dunham Rudolph | Nurse Anesthetist, Certified Registered | 2540 Penshurst Way, Virginia Beach, VA 23456-7811 | 2006-02-28 |
| 1518967538 | Karin Elizabeth Lundgren | Nurse Anesthetist, Certified Registered | 5070 Lauderdale Ave, Virginia Beach, VA 23455-1379 | 2005-08-01 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23455 |
Please comment or provide details below to improve the information on MS. MARLA BROUSSARD.
| 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.