NPIMap

Organization Active NPI

St Tammany Parish Hospital Service District No 1

Doing business as Northlake Pulmonary Associates at St Tammany Parish Hospital

  • Pulmonary Disease Physician
  • Covington, LA
National Provider Identifier
1285285874
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
ST TAMMANY PARISH HOSPITAL SERVICE DISTRICT NO 1
Doing business as
Northlake Pulmonary Associates at St Tammany Parish Hospital
Practice address
1203 S Tyler St Ste 200
Covington, LA 70433-2353
Phone
(985) 892-9143
Fax
(985) 892-9656
NPI assigned
Sep 25, 2019
Last updated
Sep 30, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
ST TAMMANY PARISH HOSPITAL SERVICE DISTRICT NO 1As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

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

Authorized official

Name
Joan Coffman
Title
President/Ceo
Phone
(985) 898-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X Primary

Addresses

Primary practice location

1203 S Tyler St Ste 200
Covington, LA 70433-2353

Mailing address

1203 S Tyler St Ste 200
Covington, LA 70433-2353
Phone (985) 892-9143

Other identifiers 1

IdentifierTypeStateIssuer
1943223OtherLAPROVIDER NUMBER

Other names 1

  • Northlake Pulmonary Associates at St Tammany Parish Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040406000728 LA Part B Supplier - Clinic/Group Practice 0749273761 Receives reassigned benefits from 69 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Covington, LA; Folsom, LA
O20100901000157 LA Part A Provider - Hospital 0749273761 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Covington, LA; Folsom, LA; Madisonville, LA; Mandeville, LA; Bush, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285285874. Details of each certification follow.

Hospital certification: CCN 190045

Legal name
ST TAMMANY PARISH HOSPITAL SERVICE DISTRICT NO 1
Doing business as
ST TAMMANY PARISH HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jun 12, 2025
Beds
281
Ownership / control type
Hospital district or authority
Organization structure
GovernmentNon-profit
Enrollment address
1202 S Tyler St
Covington, LA 70433-2330
Main/Primary Hospital Location
Hospital subgroups
Acute care

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
St Tammany Parish HospitalCCN 190045 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Part of
St Tammany Parish Hospital Employee Pharmacy

Member organizations 5

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Thomas D Davis Individual Corporate Director Jan 1, 2000
Gregory J. Lemons Individual Corporate Director Jan 1, 2000
John Allen Evans Individual Corporate Director Jan 1, 2000
Nicole Goodwin Individual W-2 Managing EmployeeAdminsitrative Assistant Managed Jan 1, 2000 100%
Sue B. Osbon Individual Corporate Director Jan 1, 2000
Joan M Coffman Individual Corporate OfficerPresident; Ceo Aug 1, 2018
W-2 Managing Employee Aug 1, 2018
Sandra Dipietro Individual Corporate OfficerCfo Sr VP Nov 1, 2014

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

Affiliated clinicians 733

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 733

NPI Registry JSON

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

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569801600000",
    "number": "1285285874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 S TYLER ST STE 200",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704332353",
            "telephone_number": "985-892-9143",
            "fax_number": "985-892-9656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 S TYLER ST STE 200",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704332353",
            "telephone_number": "985-892-9143",
            "fax_number": "985-892-9656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST TAMMANY PARISH HOSPITAL SERVICE DISTRICT NO 1",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST TAMMANY PARISH HOSPITAL SERVICE DISTRICT NO 1",
        "enumeration_date": "2019-09-25",
        "last_updated": "2019-09-30",
        "status": "A",
        "authorized_official_last_name": "COFFMAN",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "985-898-4000"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "1943223",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northlake Pulmonary Associates at St Tammany Parish Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northlake Pulmonary Associates at St Tammany Parish Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.