DANIELLE MARIE BROUSSARD (NPI# 1750946018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750946018 |
| Entity Type | Individual |
| Full Name | DANIELLE MARIE BROUSSARD |
| Practice Address |
700 Saint Landry St Lafayette LA 70506-4630 |
| Practice Telephone | 3372105145 |
| Practice Fax Number | 3372105450 |
| Mailing Telephone | 3372105145 |
| Mailing Fax Number | 3372105450 |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669827192 | Danielle Marie Desormeaux Broussard | Nurse Practitioner | 1441 Eastlake Ave, Los Angeles, CA 90089-4786 | 2016-05-03 |
| Street Address |
700 SAINT LANDRY ST |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70506-4630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295107985 | Melinda Johnson Davis | Clinic/Center | 700 Saint Landry St, Lafayette, LA 70506 | 2015-10-21 |
| 1780291286 | Kim Ann Arguelles | Counselor | 700 Saint Landry St, Lafayette, LA 70506-4630 | 2020-09-28 |
| 1992323125 | Jabriel Carson | Case Manager/Care Coordinator | 700 Saint Landry St, Lafayette, LA 70506-4630 | 2020-07-14 |
| 1588282701 | Denise Comeaux Leger | Case Manager/Care Coordinator | 700 Saint Landry St, Lafayette, LA 70506-4630 | 2020-07-14 |
| 1164040119 | Bethany M Common | Case Manager/Care Coordinator | 700 Saint Landry St, Lafayette, LA 70506-4630 | 2020-07-07 |
| 1740814268 | Latanya Roberts | Case Manager/Care Coordinator | 700 Saint Landry St, Lafayette, LA 70506-4630 | 2020-02-24 |
| 1447899364 | Jameka Mckinley | Case Manager/Care Coordinator | 700 Saint Landry St, Lafayette, LA 70506-4630 | 2019-12-23 |
| 1225672223 | Doris Davis Robert | Case Manager/Care Coordinator | 700 Saint Landry St, Lafayette, LA 70506-4630 | 2019-11-01 |
| 1346894631 | Mary Andrus | Case Manager/Care Coordinator | 700 Saint Landry St, Lafayette, LA 70506-4630 | 2019-07-25 |
| 1114589801 | Victoria Warhurst | Case Manager/Care Coordinator | 700 Saint Landry St, Lafayette, LA 70506-4630 | 2019-07-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417421447 | Maranda Washington | Student in an Organized Health Care Education/Training Program | 202 Reinhardt Drive, Lafayette, LA 70506 | 2019-01-12 |
| 1447742473 | Glenda Gravouilla Poulan | Driver | 330 Guilbeau Rd, Lafayette, LA 70506 | 2018-06-05 |
| 1194215905 | Angelica Plumbar | Case Manager/Care Coordinator | 1304 Bertrand Dr Ste B21304, Lafayette, LA 70506 | 2018-05-16 |
| 1801394820 | Acadiana Ambulatory Health Care Services | Non-Pharmacy Dispensing Site | 207 Westmark Blvd., Lafayette, LA 70506 | 2018-01-24 |
| 1578070041 | Kimberly Lois Robinson | Counselor | 203 Pinto St, Lafayette, LA 70506 | 2018-01-05 |
| 1558890814 | Shanece Marie Solomon | Speech-Language Pathologist | 326 Guilbeau Rd Apt 240, Lafayette, LA 70506 | 2017-06-08 |
| 1225565625 | Keena Lewis | Case Manager/Care Coordinator | 121 Kohen Luke Dr, Lafayette, LA 70506 | 2017-05-16 |
| 1326571498 | Natasha Deville | Community/Behavioral Health | 1408 W Willow St 162, Lafayette, LA 70506 | 2017-04-06 |
| 1952846826 | Mia D Arthur | Behavioral Analyst | 511 Monarch Dr, Lafayette, LA 70506 | 2016-12-30 |
| 1265983340 | Eric Prince | Specialist/Technologist | 202 Reinhardt Dr., Lafayette, LA 70506 | 2016-10-24 |
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| 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 |
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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.