Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KEILYN BROUSSARD
NPI 1477468262
Student in an Organized Health Care Education/Training Program in Atlanta, GA

Q: What is Keilyn Broussard's NPI number?

The NPI number for Keilyn Broussard is 1477468262. It was assigned to this individual provider in the NPPES registry on August 17, 2026.

Q: What is Keilyn Broussard's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Keilyn Broussard was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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 August 17, 2026

450 PIEDMONT AVE NE APT 1709, ATLANTA, GA 30308(810) 874-5675 Get Directions Write a Review

NPPES record added: August 17, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Keilyn Broussard NPPES

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

KEILYN BROUSSARD (NPI 1477468262) is an individual student in an organized health care education/training program in Atlanta, Georgia and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1477468262

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameKEILYN BROUSSARD

Location Address450 PIEDMONT AVE NE APT 1709Atlanta, GA 30308-3445

Mailing Address450 Piedmont Ave Ne Apt 1709Atlanta, GA 30308-3445

Phone(810) 874-5675

Sole ProprietorNo

Enumeration DateAugust 17, 2026

NPPES CertifiedAugust 17, 2026

✔ NPI 1477468262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

450 PIEDMONT AVE NE APT 1709, Atlanta, GA 30308

Open in Google Maps ↗

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 Keilyn Broussard's NPI number?

The NPI number for Keilyn Broussard is 1477468262. It was assigned to this individual provider in the NPPES registry on August 17, 2026.

Where is Keilyn Broussard located?

Keilyn Broussard practices at 450 Piedmont Ave NE Apt 1709, Atlanta, GA 30308. The listed phone number is (810) 874-5675.

What is Keilyn Broussard's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Keilyn Broussard was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.