Individual provider Active NPI

Lauren Adela Teverbaugh, M.D.

  • Psychiatry Physician
  • New Orleans, LA
National Provider Identifier
1235405416
Registry record updated Oct 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD.207061 Issued in LA
Practice address
1430 Tulane Ave # 8055
New Orleans, LA 70112-2632
Phone
(504) 988-7829
Fax
(504) 988-4264
NPI assigned
Apr 1, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X MD.207061 LA Primary

Addresses

Primary practice location

1430 Tulane Ave # 8055
New Orleans, LA 70112-2632

Mailing address

1430 Tulane Ave # 8055
New Orleans, LA 70112-2632
Phone (504) 988-7829

Other identifiers 1

IdentifierTypeStateIssuer
2192990MedicaidLA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170829001394 LA Practitioner - Psychiatry 1052691623 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.207061LAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Hospital Medical Practice Corporation Child & Adolescent Psychiatry CurrentSince Nov 4, 2020 Accepting new patients
Jeffcare CurrentSince Aug 21, 2017 Accepting new patients
Jeffcare CurrentSince Aug 21, 2017 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Aug 14, 2017 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Aug 14, 2017 Accepting new patients
Access Health Louisiana Past Accepting new patients

Locations

141 Ormond Center Ct
Destrehan, LA 70047
Phone (985) 764-7337

5001 Westbank Expy
Ste 100
Marrero, LA 70072
Phone (504) 349-8708

3616 S I 10 Service Rd W
Ste 100
Metairie, LA 70001
Phone (504) 838-5215

3616 S I 10 Service Rd W
Ste 200
Metairie, LA 70001
Phone (504) 535-2430

3040 33rd St
Metairie, LA 70001
Phone (504) 219-0880

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

1430 Tulane Ave
#8448
New Orleans, LA 70112

210 State St
Bldg 10
New Orleans, LA 70118
Phone (504) 896-7200

1430 Tulane Ave
#8055
New Orleans, LA 70112
Phone (504) 988-5407

Interoperability endpoints

  • Direct secure messaging: lauren.teverbaugh.1@11331.direct.athenahealth.com

Organizations & group practices 6

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": "1333238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475539200000",
    "number": "1235405416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 TULANE AVE # 8055",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122632",
            "telephone_number": "504-988-7829",
            "fax_number": "504-988-4264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 TULANE AVE # 8055",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122632",
            "telephone_number": "504-988-7829",
            "fax_number": "504-988-4264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEVERBAUGH",
        "first_name": "LAUREN",
        "middle_name": "ADELA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-01",
        "last_updated": "2016-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "MD.207061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2192990",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.