Individual provider Active NPI

Ronnie Vincent Taravella, M.D.

  • Psychiatry Physician
  • Baton Rouge, LA
National Provider Identifier
1205804606
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD.016298 Issued in LA
Practice address
7809 Jefferson Hwy Ste D2
Baton Rouge, LA 70809-1200
Phone
(225) 767-4668
Fax
(225) 360-3900
NPI assigned
Mar 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Preventive Medicine) Physician 2083A0300X MD.016298 LA
Psychiatry Physician 2084P0800X MD.016298 LA Primary

Addresses

Primary practice location

7809 Jefferson Hwy Ste D2
Baton Rouge, LA 70809-1200

Mailing address

PO Box 14207
Baton Rouge, LA 70898-4207
Phone (225) 767-4668

Other identifiers 1

IdentifierTypeStateIssuer
1934755MedicaidLA

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

LicenseStateTypeSpecialty
16298LAMDPharmacist
MD.016298LAMDAddiction Medicine (Preventive Medicine) Physician

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1205804606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14207",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708984207",
            "telephone_number": "225-767-4668",
            "fax_number": "225-765-3430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7809 JEFFERSON HWY STE D2",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708091200",
            "telephone_number": "225-767-4668",
            "fax_number": "225-360-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARAVELLA",
        "first_name": "RONNIE",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "LA",
            "license": "MD.016298",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "MD.016298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1934755",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.