DR. KENEITRA BROWN ROUSSELL PA-C
NPI 1770748097
Physician Assistant - Medical in Reserve, LA

Q: What is Keneitra Roussell's NPI number?

The NPI number for Keneitra Roussell is 1770748097. It was assigned to this individual provider in the NPPES registry on July 25, 2008.

Q: What is Keneitra Roussell's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Keneitra Roussell was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since July 25, 2008

3584 W AIRLINE HWY, RESERVE, LA 70084(985) 200-3836 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Keneitra Brown Roussell Pa-c NPPES

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

DR. KENEITRA BROWN ROUSSELL PA-C (NPI 1770748097) is an individual medical provider in Reserve, Louisiana and active in the NPI registry since July 2008.

NPPES Registry Identity

NPI1770748097

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameDR. KENEITRA BROWN ROUSSELLCredential: PA-C

Location Address3584 W AIRLINE HWYReserve, LA 70084-5708

Mailing Address3584 W Airline HwyReserve, LA 70084-5708 · (985) 200-3836

Phone(985) 200-3836

Sole ProprietorNo

Enumeration DateJuly 25, 2008

Last NPPES UpdateMay 21, 2025

NPPES CertifiedMay 21, 2025

✔ NPI 1770748097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

Also ListedInternal MedicineTaxonomy 207R00000X · License PA200279 (LA)

3584 W AIRLINE HWY, Reserve, LA 70084

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Other Identifiers 1

OtherPA.200279LA · Louisiana State Board Of Medical Examiners

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 Keneitra Roussell's NPI number?

The NPI number for Keneitra Roussell is 1770748097. It was assigned to this individual provider in the NPPES registry on July 25, 2008.

Where is Keneitra Roussell located?

Keneitra Roussell practices at 3584 W Airline Hwy, Reserve, LA 70084. The listed phone number is (985) 200-3836.

What is Keneitra Roussell's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Keneitra Roussell was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.