Individual provider Active NPI

Tamatha P. Newman, FNP

  • Family Nurse Practitioner
  • Oakdale, LA
National Provider Identifier
1194892398
Registry record updated Feb 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN88859 APRN4278 Issued in LA
Practice address
502 Hospital Dr
Oakdale, LA 71463-3043
Phone
(318) 335-2000
Fax
(318) 335-1004
NPI assigned
Nov 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2014

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 RN88859 APRN4278 LA Primary

Addresses

Primary practice location

502 Hospital Dr
Oakdale, LA 71463-3043

Mailing address

502 Hospital Dr
Oakdale, LA 71463-3043
Phone (318) 335-2000

Other identifiers 1

IdentifierTypeStateIssuer
1469637MedicaidLA

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
I20050218000079 LA Practitioner - Nurse Practitioner 9436101342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Menavry LLCGroup PAC ID 6608008297, 6 clinicians

Practice addresses (Care Compare)

502 Hospital Dr
Oakdale, LA 71463-3043
Phone (318) 335-2000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN88859 APRN4278LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Menavry LLC CurrentSince Jan 27, 2014 Accepting new patients
Wellspring Wound Care, LLC Past Accepting new patients

Locations

502 Hospital Dr
Oakdale, LA 71463
Phone (318) 335-2000

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392508800000",
    "number": "1194892398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 HOSPITAL DR",
            "city": "OAKDALE",
            "state": "LA",
            "postal_code": "714633043",
            "telephone_number": "318-335-2000",
            "fax_number": "318-335-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 HOSPITAL DR",
            "city": "OAKDALE",
            "state": "LA",
            "postal_code": "714633043",
            "telephone_number": "318-335-2000",
            "fax_number": "318-335-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "TAMATHA",
        "middle_name": "P.",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2014-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "RN88859  APRN4278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1469637",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakdale, LA

Sources for this page

Verify at the official NPI Registry.