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

NPI Status: Active since November 11, 2020

Contact Information

6163 E LAMAR ST
BAY SAINT LOUIS, MS
ZIP 39520
Phone: (504) 908-5893

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  • Individual
  • Female
  • Adult Companion

About SHANIKA BROUSSARD

This page provides the complete NPI Profile along with additional information for Shanika Broussard, a provider established in Bay Saint Louis, Mississippi with a medical specialization in Adult Companion. The healthcare provider is registered in the NPI registry with number 1265034516 assigned on November 2020. The practitioner's primary taxonomy code is 372600000X. The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1265034516
Provider Name
SHANIKA BROUSSARD
Gender
Female
Entity Type
Individual
Location Address
6163 E LAMAR ST BAY SAINT LOUIS, MS 39520
Location Phone
(504) 908-5893
Mailing Address
1110 COWAN RD. SUITE B #2014 GULFPORT, MS 39507
Mailing Phone
(228) 254-3037
Mailing Fax
Is Sole Proprietor?
No
Enumeration Date
11-11-2020
Last Update Date
11-11-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Adult Companion

Taxonomy Code
372600000X
Type
Nursing Service Related Providers
License State
MS
Taxonomy Description
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.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1265034516
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2212503852
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 2 + 5 + 0 + 3 + 8 + 5 + 2 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1265034516 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265034516, enumerated in the NPI registry as an "individual" on November 11, 2020

The provider is located at 6163 E Lamar St Bay Saint Louis, Ms 39520 and the phone number is (504) 908-5893

The provider's speciality is Adult Companion with taxonomy code 372600000X

This NPI record was last updated on November 11, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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