Cinderella Broussard LLC
NPI 1295273837ActiveOrganization· Nurse Practitioner, Psych/Mental Health· Lafayette, LA
Nurse Practitioner, Psych/Mental Health in Lafayette, Louisiana, registered in NPPES in February 2017. The authorized official on file is Cinderella Marie Broussard, PMHNP, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1295273837 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 2, 2017 |
| Last updated in NPPES | Jan 11, 2020 |
| Certified by provider | Jan 11, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | AP09099 | LA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (LA) |
|---|
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