Keneitra Roussell, PA-C

Individual Active
NPI 1770748097
Medical Physician Assistant Reserve, LA

NPI 1770748097 belongs to Keneitra Roussell, PA-C, a medical physician assistant with a practice location in Reserve, LA. The NPI was issued on July 25, 2008, and the record was last updated in NPPES on May 21, 2025. The record lists 2 taxonomy codes.

Taxonomies and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X Not listed
Internal Medicine Physician 207R00000X PA200279 (LA)

Practice location

3584 W Airline Hwy
Reserve, LA 70084-5708
Phone: (985) 200-3836

Local context

Active NPPES records list 44 providers with medical physician assistant as the primary taxonomy within 25 miles of this practice location's ZIP code, 1 of them within 10 miles.

The same primary taxonomy is listed by 347 in Louisiana and 40,084 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Dr. Keneitra Brown Roussell
Status
Active
NPI issued
Last updated in NPPES

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