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KIMBERLY LAUREN BROUSSARD
NPI 1073244752
Rehabilitation Practitioner in Willows, CA

Active since June 22, 2022
242 N VILLA AVE, WILLOWS, CA 95988(530) 934-6582 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 9, 2025, May 7, 2025, Dec 13, 2024 (3 updates tracked since 2024).

About Kimberly Lauren Broussard NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY LAUREN BROUSSARD (NPI 1073244752) is an individual rehabilitation practitioner in Willows, California and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1073244752
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameKIMBERLY LAUREN BROUSSARD
Location Address242 N VILLA AVEWillows, CA 95988-2641
Mailing Address242 N Villa AveWillows, CA 95988-2641 · (530) 934-6582
Phone(530) 934-6582
Sole ProprietorYes
Enumeration DateJune 22, 2022
Last NPPES UpdateSeptember 9, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2025
✔ NPI 1073244752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
Also ListedCommunity Health WorkerTaxonomy 172V00000X
242 N VILLA AVE, Willows, CA 95988
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Other Identifiers 1

Other1709Medical

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. AMBER JENEESE ARNOLD
Case Manager/Care Coordinator
242 N VILLA AVE
WILLOWS, CA 95988
Glenn County (530) 934-6582
MS. JENNIFER CHRISTINE BLACKWELL ACSW
Social Worker (Clinical)
242 N VILLA AVE
WILLOWS, CA 95988
Glenn County (530) 934-6582
MS. LISA VIRRUETA
Marriage & Family Therapist
242 N VILLA AVE
WILLOWS, CA 95988
Glenn County (530) 934-6582
MRS. CHRISTINA HEARTT ZIMMERMAN MFTI
Marriage & Family Therapist
242 N VILLA AVE
WILLOWS, CA 95988
Glenn County (530) 934-6582
VERONICA JIMENEZ
Student in an Organized Health Care Education/Training Program
242 N VILLA AVE
WILLOWS, CA 95988
Glenn County (530) 865-6106
SHAWN VANG
Adult Companion
242 N VILLA AVE
WILLOWS, CA 95988
Glenn County (530) 934-6582
MS. DEDRA ANN BROOKS LCSW
Social Worker (Clinical)
242 N VILLA AVE
WILLOWS, CA 95988
Glenn County (530) 865-6459
MS. DENBEIGH LEE BURGESS
Case Manager/Care Coordinator
242 N VILLA AVE
WILLOWS, CA 95988
Glenn County (530) 865-6725

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Broussard's NPI number?

The NPI number for Kimberly Broussard is 1073244752. It was assigned to this individual provider in the NPPES registry on June 22, 2022.

Where is Kimberly Broussard located?

Kimberly Broussard practices at 242 N Villa Ave, Willows, CA 95988. The listed phone number is (530) 934-6582.

What is Kimberly Broussard's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Kimberly Broussard was last updated on September 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.