Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1073244752 Individual Practitioner Female Practitioner

Kimberly Lauren Broussard

Rehabilitation Practitioner • Willows, CA

Professional Overview & Biography Verified Profile Summary

Kimberly Broussard is a registered healthcare professional specializing in Rehabilitation Practitioner in Willows, CA. Practice services are available at 242 N VILLA AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

242 N Villa Ave

Willows, CA 959882641

Telephone 5309346582
Associated Practice Facility / Clinic
🏢 County Of Glenn Facility NPI 1427196617

Specialty Benchmarks & Practice Insights

Comparative analytics for Rehabilitation Practitioner in Willows, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 23.6 Yrs
Regional Practice Density
6 Specialists

Practicing in Willows, CA (14127 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-09-09
Rehabilitation Practitioner Primary Specialty

NUCC Taxonomy Code: 225400000X

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

Community Health Worker

NUCC Taxonomy Code: 172V00000X

Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medical
1709

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Amber Arnold

Case Manager/Care Coordinator

NPI 1013451822
Jennifer Blackwell , ACSW

Social Worker - Clinical

NPI 1023141843

Academy of Certified Social Workers

Lisa Virrueta

Marriage & Family Therapist

NPI 1023338191
Christina Zimmerman , MFTI

Marriage & Family Therapist

NPI 1033259056
Shawn Vang

Adult Companion

NPI 1083436463
Maxwel Bryant

Social Worker - Clinical

NPI 1134597834

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 07, 2025

Community Health Worker

NPI Profile Active June 22, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location June 22, 2022

Registered at 242 N VILLA AVE, WILLOWS, CA 959882641 (Tel: 5309346582)

📍
Updated Business Mailing Address June 22, 2022

Registered at 242 N VILLA AVE, WILLOWS, CA 959882641 (Tel: 5309346582)

👤
Provider Name / Credentials Updated June 22, 2022

Recorded as KIMBERLY BROUSSARD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 22, 2022

Case Manager/Care Coordinator

🟢
Initial NPI Registration & Enumeration June 22, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073244752
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 22, 2022
Last Update: September 09, 2025
Sole Proprietor: Yes

Mailing Address

242 N Villa Ave

Willows, CA 959882641

Phone: 5309346582

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.