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Individual provider Active NPI

Tara L Sykes, FNP

  • Family Nurse Practitioner
  • Biloxi, MS
National Provider Identifier
1033437587
Registry record updated May 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R873234 Issued in MS
Practice address
250 Beauvoir Rd
Suite 4B
Biloxi, MS 39531-4026
Phone
(228) 388-9848
Fax
(228) 388-4157
NPI assigned
May 7, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R873234 MS Primary

Addresses

Primary practice location

250 Beauvoir Rd
Suite 4B
Biloxi, MS 39531-4026

Mailing address

222 Shady Lane Ave
Long Beach, MS 39560-4308
Phone (228) 234-1776

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, LA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120224000606 MS Practitioner - Nurse Practitioner 5991963787 Reassigns benefits to 2 organizations
I20190510001819 LA Practitioner - Nurse Practitioner 5991963787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wound Care Associates LLCGroup PAC ID 0840314548, 117 clinicians

Practice addresses (Care Compare)

1302 44TH Ave
Gulfport, MS 39501-2552
Phone (985) 892-7070

1310 Gause Blvd
Slidell, LA 70458-3016
Phone (985) 892-7070

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R873234MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wound Care Associates LLC CurrentSince Oct 16, 2018 Accepting new patients
Gulf Coast Life, PLLC CurrentSince Apr 1, 2017 Accepting new patients
Heart Hypertension Cholesterol & Diabetes Care LLC PastSince Jan 1, 2014 Accepting new patients

Locations

20050 Crestwood Blvd
#O
Covington, LA 70433
Phone (985) 867-4008

16065 Lamonte Dr
Hammond, LA 70403
Phone (985) 956-7771

1310 Gause Blvd
Ste B
Slidell, LA 70458

1310 Gause Blvd
Slidell, LA 70458
Phone (985) 602-1215

4405 E Aloha Dr
Bldg 1A
Diamondhead, MS 39525
Phone (228) 255-8818

3661 Sangani Blvd
Ste D1
Diberville, MS 39540
Phone (228) 300-8235

1302 44th Ave
Gulfport, MS 39501
Phone (228) 687-8235

431 W Race St
Rolling Fork, MS 39159
Phone (662) 795-0440

Organizations & group practices 3

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 63

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

View all 63

NPI Registry JSON

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

{
    "created_epoch": "1273190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273190400000",
    "number": "1033437587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 SHADY LANE AVE",
            "city": "LONG BEACH",
            "state": "MS",
            "postal_code": "395604308",
            "telephone_number": "228-234-1776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 BEAUVOIR RD",
            "address_2": "SUITE 4B",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395314026",
            "telephone_number": "228-388-9848",
            "fax_number": "228-388-4157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYKES",
        "first_name": "TARA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-07",
        "last_updated": "2010-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R873234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Biloxi, MS

Sources for this page

Verify at the official NPI Registry.