Individual provider Active NPI

Tori Manuel Mire, ANP

  • Adult Health Nurse Practitioner
  • New Iberia, LA
National Provider Identifier
1255546230
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP05182 Issued in LA
Practice address
749 Hummingbird LN
New Iberia, LA 70560-1451
Phone
(337) 321-1738
NPI assigned
May 11, 2007
Last updated
Nov 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP05182 LA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP05182 LA

Addresses

Primary practice location

749 Hummingbird LN
New Iberia, LA 70560-1451

Mailing address

749 Hummingbird LN
New Iberia, LA 70560-1451
Phone (337) 321-1738

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
I20100326000164 LA Practitioner - Nurse Practitioner 9436210374 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pro-NP LLCGroup PAC ID 7517146822, 11 clinicians

Practice addresses (Care Compare)

2319 E Main St
Consolata Home
New Iberia, LA 70560-4031
Phone (337) 365-8226

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP05182LAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pro-NP LLC Nurse Practitioner CurrentSince Jan 1, 2018 Accepting new patients
Vital Healthcare Solutions LLC CurrentSince Apr 20, 2024 Accepting new patients
Savoy Medical Management Group, Inc. Past Accepting new patients
Mdhpx, LLC Adult Health PastSince Jun 1, 2008 Accepting new patients
Curana Health of Louisiana LLC Past Accepting new patients

Locations

2305 Richard St
Abbeville, LA 70510
Phone (337) 892-9800

4000 Rodeo Rd
Abbeville, LA 70510
Phone (337) 684-2299

1201 3rd St
Gueydan, LA 70542
Phone (337) 232-0299

7307 E Old Spanish Trl
Jeanerette, LA 70544
Phone (337) 276-4514

1306 W Admiral Doyle Dr
New Iberia, LA 70560
Phone (312) 529-8976

2319 E Main St
New Iberia, LA 70560
Phone (337) 365-8226

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1255546230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "749 HUMMINGBIRD LN",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705601451",
            "telephone_number": "337-321-1738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "749 HUMMINGBIRD LN",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705601451",
            "telephone_number": "337-321-1738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRE",
        "first_name": "TORI",
        "middle_name": "MANUEL",
        "name_prefix": "Mrs.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-11",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "LA",
            "license": "AP05182",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "AP05182",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Iberia, LA

Sources for this page

Verify at the official NPI Registry.