SHANIKA BROUSSARD
NPI 1265034516
Adult Companion in Bay Saint Louis, MS

Q: What is Shanika Broussard's NPI number?

The NPI number for Shanika Broussard is 1265034516. It was assigned to this individual provider in the NPPES registry on November 11, 2020.

Q: What is Shanika Broussard's specialty?

The primary specialty registered for this NPI is Adult Companion with taxonomy code 372600000X.

Q: When was this NPI record last updated?

The NPPES record for Shanika Broussard was last updated on November 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.

Active since November 11, 2020

6163 E LAMAR ST, BAY SAINT LOUIS, MS 39520(504) 908-5893 Get Directions Write a Review

NPPES record last updated: November 11, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shanika Broussard NPPES

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

SHANIKA BROUSSARD (NPI 1265034516) is an individual adult companion provider in Bay Saint Louis, Mississippi and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1265034516

Entity TypeIndividualFemale

Primary Taxonomy372600000X

Provider Legal NameSHANIKA BROUSSARD

Location Address6163 E LAMAR STBay Saint Louis, MS 39520-8267

Mailing Address1110 Cowan Rd., Suite B #2014Gulfport, MS 39507 · (228) 254-3037 · Fax (228) 335-6029

Phone(504) 908-5893

Sole ProprietorNo

Enumeration DateNovember 11, 2020

NPPES CertifiedNovember 11, 2020

✔ NPI 1265034516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdult CompanionNursing Service Related Providers

Taxonomy Code372600000X

Definition

An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.

6163 E LAMAR ST, Bay Saint Louis, MS 39520

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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 Shanika Broussard's NPI number?

The NPI number for Shanika Broussard is 1265034516. It was assigned to this individual provider in the NPPES registry on November 11, 2020.

Where is Shanika Broussard located?

Shanika Broussard practices at 6163 E Lamar St, Bay Saint Louis, MS 39520. The listed phone number is (504) 908-5893.

What is Shanika Broussard's specialty?

The primary specialty registered for this NPI is Adult Companion with taxonomy code 372600000X.

When was this NPI record last updated?

The NPPES record for Shanika Broussard was last updated on November 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.