NPI profile
KIMBERLY BROUSSARD
NPI record status, taxonomy, official source timestamp, and OIG LEIE screening context.
Identity
- NPI
- 1477908275
- Entity type
- NPI-2
- Primary taxonomy
- 305R00000X
- NPI source updated
- Apr 29, 2016
- Enumeration date
- Apr 28, 2016
- Cache fetched
- May 05, 2026
NPI does not validate licensure, credentialing, Medicare enrollment, or current practice authority.
OIG LEIE screening
excludedConfidence: high
Exact OIG exclusion match by NPI.
NPI addresses
| Purpose | Address | Phone |
|---|---|---|
| MAILING | 7024760448 | |
| LOCATION | 7024760448 |
FAQ
Practical notes
Does an NPI record validate licensure?
No. NPI data does not validate licensure, credentialing, Medicare enrollment, or current practice authority.