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Jonathon Broussard
NPI 1710764626 · Personal Care Attendant · Las Vegas, NV
Jonathon Broussard is a Personal Care Attendant provider in Las Vegas, NV (NPI 1710764626).
Provider details
- NPI number
- 1710764626
- Entity type
- Individual
- Primary specialty
- Personal Care AttendantNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Nursing Service Related Providers
Profile Score
Established profile(51/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4245 S Grand Canyon Dr Ste 226
Las Vegas, NV 89147-7162
Phone: (702) 751-0356
Street-level locationGet directions
Mailing address
4245 S Grand Canyon Dr Ste 226
Las Vegas, NV 89147-7162
Registry dates
- Enumerated
- 2023-09-13
- Last updated
- 2023-09-13
- Certified
- 2023-09-13
Frequently asked questions
- What is Jonathon Broussard's NPI number?
- Jonathon Broussard's National Provider Identifier (NPI) is 1710764626, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jonathon Broussard's specialty?
- Jonathon Broussard is listed in the NPPES registry with a primary specialty of Personal Care Attendant (Nursing Service Related Providers).
- Where is Jonathon Broussard located?
- Jonathon Broussard's practice location on file with NPPES is 4245 S Grand Canyon Dr Ste 226, Las Vegas, NV 89147-7162.
- What is Jonathon Broussard's phone number?
- The practice phone number listed in the NPPES registry for Jonathon Broussard is (702) 751-0356.
- Is Jonathon Broussard's NPI active?
- Yes — Jonathon Broussard's NPI (1710764626) is active in the NPPES registry as of the last update on 2023-09-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.