Active NPI
Michael Andre Couvillon, NP
- Nurse Practitioner
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN045162 - AP03387
- Practice address
- 3250 Zemke Ave
Tampa, FL 33621-5023 - Phone
- (813) 827-4410
- NPI assigned
- Jul 7, 2005
- Sex
- Male
- 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 | RN045162 - AP03387 | LA | Primary |
Addresses
Primary practice location
3250 Zemke Ave
Tampa, FL 33621-5023
Mailing address
3250 Zemke Ave
Tampa, FL 33621-5023
Phone (813) 827-4410
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00130594 | Other | LA | RR MEDICARE |
| 1564907 | Medicaid | LA |
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2000 Canal St
New Orleans, LA 70112-3018
Phone (504) 702-3000
8166 Main St
Houma, LA 70360-3404
Phone (985) 873-4751
Hospital & facility affiliations
- Terrebonne General Medical Center - Parish
- University Medical Center New Orleans
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN045162 - AP03387 | LA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Medical Center Management Corporation | Nurse Practitioner | Current | Accepting new patients |
| Lafourche Parish Hospital Service District No.1 | Current | Accepting new patients | |
| University Medical Center Management Corporation | Current | Accepting new patients | |
| Paeon Health Services Inc | Current | Accepting new patients | |
| Physician Practice Partners | Nurse Practitioner | Current | Accepting new patients |
| Lafourche Parish Hospital Service District No.1 | Current | Accepting new patients | |
| Terrebonne Parish Hospital Service District #1 | Current | Accepting new patients | |
| Laborde Therapy Center LLC | Past | Accepting new patients |
Locations
200 W 134th Pl
Cut Off, LA 70345
Phone (985) 325-9300
911 Verret St
Houma, LA 70360
Phone (985) 876-7388
8120 Main St
Ste 203
Houma, LA 70360
Phone (985) 868-9960
8166 Main St
Houma, LA 70360
Phone (800) 456-9121
2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287
Interoperability endpoints
- mcouvillon158472@direct.ochsner.org
Organizations & group practices 8
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.
-
- Anesthesiology Physician
- Houma, LA
- NPI 1568985612
-
- Family Medicine Physician
- New Orleans, LA
- NPI 1083655567
Nurse Practitioner
-
- Emergency Medicine Physician
- Cut Off, LA
- NPI 1831260793
-
- Medicare Defined Swing Bed Hospital Unit
- Cut Off, LA
- NPI 1043358120
-
- Anesthesiology Physician
- Houma, LA
- NPI 1740248129
-
- Psychiatric Hospital Unit
- New Orleans, LA
- NPI 1144261728
-
- Occupational Therapist
- Lafayette, LA
- NPI 1811997448
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Houma, LA
- NPI 1518924109
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1568403111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524096000000",
"number": "1184621856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3250 ZEMKE AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336215023",
"telephone_number": "813-827-4410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3250 ZEMKE AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336215023",
"telephone_number": "813-827-4410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COUVILLON",
"first_name": "MICHAEL",
"middle_name": "ANDRE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2018-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "LA",
"license": "RN045162 - AP03387",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00130594",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1564907",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; 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.