1. Home
  2. Directory
  3. Nebraska
  4. Kimball
  5. Licensed Practical Nurse
  6. NPI Profile

TERESA LYNN BROUSSARD
NPI 1962357905
Licensed Practical Nurse in Kimball, NE

Active since March 04, 2026
204 N ELM ST, KIMBALL, NE 69145(308) 235-5492 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Teresa Lynn Broussard NPPES

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

TERESA LYNN BROUSSARD (NPI 1962357905) is an individual licensed practical nurse in Kimball, Nebraska, licensed in Nebraska (15769) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1962357905
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameTERESA LYNN BROUSSARD
Location Address204 N ELM STKimball, NE 69145-1008
Mailing Address204 N Elm StKimball, NE 69145-1008 · (308) 235-5492
Phone(308) 235-5492
Sole ProprietorYes
Enumeration DateMarch 4, 2026
NPPES CertifiedMarch 4, 2026
✔ NPI 1962357905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NE · 15769
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
204 N ELM ST, Kimball, NE 69145
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Teresa Broussard's NPI number?

The NPI number for Teresa Broussard is 1962357905. It was assigned to this individual provider in the NPPES registry on March 4, 2026.

Where is Teresa Broussard located?

Teresa Broussard practices at 204 N Elm St, Kimball, NE 69145. The listed phone number is (308) 235-5492.

What is Teresa Broussard's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Teresa Broussard was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.