Active NPI
Tina K Monlezun, DNP,FNPBC
- Nurse Practitioner
- Lake Arthur, LA
National Provider Identifier
1104800846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APO25000
- Practice address
- 328 Kellogg Ave
Lake Arthur, LA 70549-4116 - Phone
- (337) 774-0100
- Fax
- (337) 774-0111
- NPI assigned
- Dec 6, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APO25000 | LA | Primary |
Addresses
Primary practice location
328 Kellogg Ave
Lake Arthur, LA 70549-4116
Mailing address
PO Box 765
Lake Arthur, LA 70549-0765
Phone (337) 774-0111
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1182826 | Medicaid | LA | |
| APO2500 | Other | LA | ADV. PRACT. NURSE PRACTIT |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100316000071 | LA | Practitioner - Nurse Practitioner | 6800938937 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ochsner American Legion Hospital, LLC
Practice addresses (Care Compare)
328 Kellogg Ave
Lake Arthur, LA 70549-4116
Phone (337) 774-0100
Hospital & facility affiliations
- Jeff Davis MD Homecare
- Ochsner American Legion Hospital
- Acadia General Hospital
- Abrom Kaplan Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APO25000 | LA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner American Legion Hospital LLC | Current | Accepting new patients | |
| Ochsner American Legion Hospital LLC | Current | Accepting new patients | |
| Ochsner American Legion Hospital LLC | Current | Accepting new patients | |
| Jennings American Legion Hospital, Inc. | Past | Accepting new patients |
Locations
3256 Highway 190
Ste B
Eunice, LA 70535
Phone (337) 550-3740
1634 Elton Rd
Jennings, LA 70546
Phone (337) 616-7000
1636 Elton Rd
Ste 201
Jennings, LA 70546
Phone (337) 721-7236
328 Kellogg Ave
Lake Arthur, LA 70549
Phone (337) 616-7030
Interoperability endpoints
- tmonlezun1099105@direct.ochsner.org
Organizations & group practices 10
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.
-
- Rural Health Clinic/Center
- Jennings, LA
- NPI 1093465163
-
- Internal Medicine Physician
- Welsh, LA
- NPI 1538819628
-
- Rural Health Clinic/Center
- Lake Arthur, LA
- NPI 1104576289
-
- General Acute Care Hospital
- Jennings, LA
- NPI 1184373268
-
- Clinic Pharmacy
- Jennings, LA
- NPI 1366161234
-
- Medicare Defined Swing Bed Hospital Unit
- Jennings, LA
- NPI 1467195289
-
- Rural Health Clinic/Center
- Jennings, LA
- NPI 1538800503
-
- Rural Health Clinic/Center
- Eunice, LA
- NPI 1992455083
-
- Surgery Physician
- Jennings, LA
- NPI 1801147434
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Jennings, LA
- NPI 1588112239
-
- General Acute Care Hospital
- Jennings, LA
- NPI 1184373268
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1104800846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 765",
"city": "LAKE ARTHUR",
"state": "LA",
"postal_code": "705490765",
"telephone_number": "337-774-0111",
"fax_number": "337-774-0111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "328 KELLOGG AVE",
"city": "LAKE ARTHUR",
"state": "LA",
"postal_code": "705494116",
"telephone_number": "337-774-0100",
"fax_number": "337-774-0111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONLEZUN",
"first_name": "TINA",
"middle_name": "K",
"credential": "DNP,FNPBC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-06",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "LA",
"license": "APO25000",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1182826",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADV. PRACT. NURSE PRACTIT",
"identifier": "APO2500",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lake Arthur, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.