Individual provider Active NPI

Taisha Nelson Coffil, NP

  • Family Nurse Practitioner
  • Harvey, LA
National Provider Identifier
1003636218
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
234686 Issued in LA
Practice address
1901 Manhattan Blvd Ste 200
Harvey, LA 70058-3582
Phone
(504) 354-5252
Fax
(504) 354-5253
NPI assigned
Oct 14, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 234686 LA
Family Nurse Practitioner 363LF0000X 234686 LA Primary

Addresses

Primary practice location

1901 Manhattan Blvd Ste 200
Harvey, LA 70058-3582

Mailing address

1901 Manhattan Blvd Ste 200
Harvey, LA 70058-3582
Phone (504) 354-5252

Other practice location 1

2717 Blomquist St
Meraux, LA 70075-2132
Phone (504) 287-7947

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250205001901 LA Practitioner - Nurse Practitioner 5698205755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiovascular Institute of the South, LLCGroup PAC ID 3779497441, 145 clinicians

Practice addresses (Care Compare)

1901 Manhattan Blvd
Suite A200
Harvey, LA 70058-3585
Phone (504) 354-5252

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Institute of the South, LLC Nurse Practitioner CurrentSince Jan 13, 2025 Accepting new patients

Locations

1901 Manhattan Blvd
Ste A200
Harvey, LA 70058
Phone (504) 354-5252

1901 Manhattan Blvd
Ste 200
Harvey, LA 70058
Phone (504) 354-5252

1901 Manhattan Blvd
Bldg A
Harvey, LA 70058

500 N Lewis St
Ste 100
New Iberia, LA 70563
Phone (337) 367-5200

2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1728864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1003636218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 MANHATTAN BLVD STE 200",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700583582",
            "telephone_number": "504-354-5252",
            "fax_number": "504-354-5253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 MANHATTAN BLVD STE 200",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700583582",
            "telephone_number": "504-354-5252",
            "fax_number": "504-354-5253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2717 Blomquist St",
            "address_purpose": "LOCATION",
            "city": "Meraux",
            "state": "LA",
            "postal_code": "700752132",
            "country_code": "US",
            "telephone_number": "504-287-7947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON COFFIL",
        "first_name": "TAISHA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-14",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "234686",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "234686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harvey, LA

Sources for this page

Verify at the official NPI Registry.