Active NPI
Nuzhath Tasneem, M.D.
- Family Medicine Physician
- Olla, LA
National Provider Identifier
1174815062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD.207415
- Practice address
- 1102 N Pine Rd
Ste C
Olla, LA 71465-4804 - Phone
- (318) 495-3880
- Fax
- (318) 495-3882
- NPI assigned
- May 10, 2011
- Last updated
- Feb 8, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | MD.207415 | LA | Primary |
Addresses
Primary practice location
1102 N Pine Rd
Ste C
Olla, LA 71465-4804
Mailing address
18518 Each Elm Way
Barkers Trail
Houston, TX 77084-7686
Phone (214) 886-6702
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.207415 | LA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486512000000",
"number": "1174815062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18518 EACH ELM WAY",
"address_2": "BARKERS TRAIL",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770847686",
"telephone_number": "214-886-6702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 N PINE RD",
"address_2": "STE C",
"city": "OLLA",
"state": "LA",
"postal_code": "714654804",
"telephone_number": "318-495-3880",
"fax_number": "318-495-3882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TASNEEM",
"first_name": "NUZHATH",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-10",
"last_updated": "2017-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "LA",
"license": "MD.207415",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olla, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.