Individual provider Active NPI

Tina Yanique Simpson, MD

  • Pediatric Adolescent Medicine Physician
  • New Orleans, LA
National Provider Identifier
1366439184
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
333996 Issued in LA
Practice address
1430 Tulane Ave Ste 4536
New Orleans, LA 70112-2632
Phone
(504) 988-0000
NPI assigned
Oct 6, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD.22940 AL
Pediatric Adolescent Medicine Physician 2080A0000X MD.22940 AL
Pediatric Adolescent Medicine Physician 2080A0000X 333996 LA Primary

Addresses

Primary practice location

1430 Tulane Ave Ste 4536
New Orleans, LA 70112-2632

Mailing address

1430 Tulane Ave Ste 4536
New Orleans, LA 70112-2632
Phone (504) 988-3875

Other practice location 1

1600 5th Ave S
Birmingham, AL 35233
Phone (205) 638-9345

Other practice location 2

1600 7th Ave S
Birmingham, AL 35233-1711
Phone (205) 939-9587

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, LA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140725001748 AL Practitioner - Pediatric Medicine 1355567454 Reassigns benefits to 1 organization
I20221202001502 LA Practitioner - Pediatric Medicine 1355567454 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Administrators of the Tulane Educational FundGroup PAC ID 0446163760, shared by 3 NPIs, 388 clinicians

Practice addresses (Care Compare)

611 N Rampart St
Tulane Drop in Clinic at Covenant H
New Orleans, LA 70112-3505
Phone (504) 584-1112

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.22940ALMDPediatric Adolescent Medicine Physician
333996LAMDPediatric Adolescent Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC Pediatrics CurrentSince Jan 12, 2012 Accepting new patients
Childrens Hospital Medical Practice Corporation Pediatrics CurrentSince Jul 8, 2024 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Oct 1, 2022 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Oct 1, 2022 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Oct 1, 2022 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Jan 12, 2012 Accepting new patients
The Children'S Hospital of Alabama PastSince Sep 1, 2019 Accepting new patients

Locations

1600 7th Ave S
Birmingham, AL 35233
Phone (205) 638-9100

1600 5th Ave S
Birmingham, AL 35233
Phone (205) 939-6741

1600 7th Ave S
#5606
Birmingham, AL 35233

1600 7th Ave S
#604
Birmingham, AL 35233
Phone (205) 939-9583

703 Volker Hall
Birmingham, AL 35294
Phone (205) 638-9587

1208 Wisteria St
Alexandria, LA 71301
Phone (318) 484-4801

71211 Highway 21
Ste B
Covington, LA 70433
Phone (985) 893-9922

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

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

4740 S I 10 Service Rd W
Ste 200
Metairie, LA 70001
Phone (504) 988-5458

611 N Rampart St
#H
New Orleans, LA 70112
Phone (504) 584-1112

1100 Poydras St
Ste 2500
New Orleans, LA 70163
Phone (504) 527-9953

611 N Rampart St
New Orleans, LA 70112
Phone (504) 584-1112

1430 Tulane Ave
#T
New Orleans, LA 70112

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

200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860

711 N Broad St
New Orleans, LA 70119
Phone (504) 988-3000

1430 Tulane Ave
Ste 4536
New Orleans, LA 70112
Phone (504) 988-0000

Organizations & group practices 7

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": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1366439184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 TULANE AVE STE 4536",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122632",
            "telephone_number": "504-988-3875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 TULANE AVE STE 4536",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122632",
            "telephone_number": "504-988-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 5th Ave S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "35233",
            "country_code": "US",
            "telephone_number": "205-638-9345",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 7th Ave S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352331711",
            "country_code": "US",
            "telephone_number": "205-939-9587",
            "fax_number": "205-975-4623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "TINA",
        "middle_name": "YANIQUE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-06",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "MD.22940",
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "AL",
            "license": "MD.22940",
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "LA",
            "license": "333996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.