Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly Broussard

Individual provider Certified Registered Nurse Anesthetist · NPI 1538561048

Kelly Broussard is a Certified Registered Nurse Anesthetist (CRNA) in Slidell, Louisiana. Qualified in 2014, 12 years ago. Practices with Lafayette Health Ventures Inc, a 299-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
12
Licensed in
LA
In the registry since
2014

Practice location Address checks out

1700 Lindberg Dr
Slidell, LA 70458-8062
Phone: (985) 649-4063
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 07870 (LA)

Record details

NPI number1538561048
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 16, 2014
Last updated in NPPESFebruary 24, 2016
Mailing address4664 Painters St, New Orleans, LA 70122-5002

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Lafayette Health Ventures Inc — 299 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Slidell