NPIMap

Organization Active NPI

Priority Health Care

  • Federally Qualified Health Center (FQHC)
  • Gretna, LA
National Provider Identifier
1346725108
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
PRIORITY HEALTH CARE
Practice address
12 Westbank Expy
Gretna, LA 70053-3647
Phone
(504) 509-5437
Fax
(504) 509-4802
NPI assigned
Sep 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Authorized official

Name
Mrs. Tamara Boutte Dioubate, MSW, MSHCM
Title
Ceo
Phone
(504) 309-6522

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

12 Westbank Expy
Gretna, LA 70053-3647

Mailing address

4700 Wichers Dr Ste 306
Marrero, LA 70072-3054
Phone (504) 309-6522

Other practice location 1

4700 Wichers Dr Ste 307
Marrero, LA 70072-3054
Phone (504) 509-5437

Other identifiers 1

IdentifierTypeStateIssuer
3832461MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20131205000208 LA Part B Supplier - Clinic/Group Practice 5395972988 Receives reassigned benefits from 13 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Gretna, LA; Marrero, LA
O20160218000518 LA Part A Provider - Federally Qualified Health Center (FQHC) 5395972988 1 other NPI on this enrollment
Practice locations: Marrero, LA
O20250320002963 LA Part A Provider - Federally Qualified Health Center (FQHC) 5395972988 Practice locations: Gretna, LA

Federally qualified health center certification: CCN 191946

Legal name
PRIORITY HEALTH CARE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 27, 2016
Last certification
Jan 27, 2016
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Aug 25, 2009 in LA
Enrollment address
4700 Wichers Dr
Ste 304-305
Marrero, LA 70072-3041

Federally qualified health center certification: CCN 711011

Legal name
PRIORITY HEALTH CARE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Dec 17, 2024
Last certification
Dec 17, 2024
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
12A Westbank Expy
Ste 101
Gretna, LA 70053-3659

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory

Locations

12A Westbank Expy
Ste 111
Gretna, LA 70053
Phone (504) 509-4800

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Tyra Trenise Brown Individual Corporate DirectorGoverning Board Chair Aug 25, 2009
Corporate DirectorBoard of Directors, Chair Aug 25, 2009 10%
Monique Williams- Johnson Individual Corporate DirectorGoverning Board Member Aug 20, 2020
Tamara B Dioubate Individual 5% Or Greater Direct Ownership InterestChief Executive Officer Aug 25, 2009 100%
W-2 Managing EmployeeChief Executive Officer Aug 25, 2009
5% Or Greater Direct Ownership InterestCeo Aug 25, 2009 100%
W-2 Managing Employee Aug 25, 2009
Hiram Mitchell Walker Individual Corporate DirectorGoverning Board Member Aug 20, 2020
Daniel Lewis Individual Corporate DirectorGoverning Board Treasurer Sep 1, 2017
Corporate DirectorBoard of Directors, Treasurer Sep 1, 2017 10%
Larrion Dean Individual Corporate DirectorGoverning Board Member Sep 1, 2018
Fabian Ancar Individual Corporate DirectorGoverning Board Member May 1, 2019
Mervin Douglas Individual Corporate DirectorGoverning Board Member Jan 1, 2016
Corporate DirectorBoard of Directors, Member Jan 1, 2016 10%
Arisa Banks Individual Corporate DirectorAbforestesq@Protonmail.Com Dec 1, 2016
Corporate DirectorBoard of Directors, Member Dec 1, 2016 10%
Cynthia Simmons Individual Corporate DirectorGoverning Board Parliamentarian Oct 1, 2018
Corporate DirectorBoard of Directors, Member Oct 1, 2018 10%
Tanya Jenell Hardy-Gillum Individual Corporate DirectorBoard of Directors, Secretary Jul 1, 2012 10%
Allison Dwight Moton Individual Corporate DirectorBoard of Directors, Member May 1, 2012 10%
Peter Brooks Individual Corporate DirectorBoard of Directors, Member May 1, 2012 10%
Lorraine Loydrake Individual Corporate DirectorBoard of Directors, Member Jul 1, 2012 10%

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755043200000",
    "number": "1346725108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 WICHERS DR STE 306",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723054",
            "telephone_number": "504-309-6522",
            "fax_number": "504-309-6084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 WESTBANK EXPY",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700533647",
            "telephone_number": "504-509-5437",
            "fax_number": "504-509-4802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4700 Wichers Dr Ste 307",
            "address_purpose": "LOCATION",
            "city": "Marrero",
            "state": "LA",
            "postal_code": "700723054",
            "country_code": "US",
            "telephone_number": "504-509-5437",
            "fax_number": "504-509-5965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRIORITY HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-27",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A",
        "authorized_official_last_name": "DIOUBATE",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "BOUTTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "504-309-6522",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW, MSHCM"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3832461",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gretna, LA

Sources for this page

Verify at the official NPI Registry.