Active NPI
Lauren Adela Teverbaugh, M.D.
- Psychiatry Physician
- New Orleans, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD.207061
- 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
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 | |||
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2192990 | 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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.207061 | LA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childrens Hospital Medical Practice Corporation | Child & Adolescent Psychiatry | Current | Accepting new patients |
| Jeffcare | Current | Accepting new patients | |
| Jeffcare | Current | Accepting new patients | |
| Administrators of the Tulane Educational Fund | Current | Accepting new patients | |
| Administrators of the Tulane Educational Fund | Current | 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
- 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.
-
dba Tulane University Medical Group
- Specialist
- New Orleans, LA
- NPI 1528014164
-
- Pediatrics Physician
- New Orleans, LA
- NPI 1821090713
Child & Adolescent Psychiatry
-
dba JeffCare East Jefferson
- Federally Qualified Health Center (FQHC)
- Metairie, LA
- NPI 1518383785
-
dba JeffCare West Jefferson
- Federally Qualified Health Center (FQHC)
- Marrero, LA
- NPI 1154747327
-
- Specialist
- Hattiesburg, MS
- NPI 1033395298
-
dba St Charles Community Health Center, Luling
- Federally Qualified Health Center (FQHC)
- Kenner, LA
- NPI 1417999327
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.