Tara Higginbotham, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

227420 Issued in LA

Practice address

23699 Quail Lane
Mandeville, LA 70448

Phone

(985) 334-4040

NPI assigned

Mar 15, 2018

Last updated

Jan 25, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CLHG-Acadian LLCGroup PAC ID 0840521209, 31 clinicians

CLHG-Avoyelles LLCGroup PAC ID 8921380528, 39 clinicians

Access Serenity of Louisiana LLCGroup PAC ID 4385985803, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Acadian Medical Center Hospital, Eunice, LA, CCN 190318
• Acadia St Landry Hospital, Church Point, LA, CCN 191319

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tara.higginbotham.1@16696.direct.athenahealth.com
• Direct secure messaging: tara.higginbotham.1@27785.direct.athenahealth.com
• Direct secure messaging: tara.higginbotham.1@30808.direct.athenahealth.com

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.

• Access Serenity of Louisiana, LLC

  dba Access Serenity

  • Psychiatry Physician
  • Many, LA
  • NPI 1104378629
  Medicare reassignment Care Compare group NPD
• CLHG-Acadian LLC

  dba Acadian Medical Center

  • Family Medicine Physician
  • Eunice, LA
  • NPI 1942977657
  Medicare reassignment Care Compare group NPD
• CLHG-Avoyelles LLC

  • General Acute Care Hospital
  • Marksville, LA
  • NPI 1639618853
  Medicare reassignment Care Compare group NPD
• CLHG-Acadian, LLC

  dba Acadiana Surgical Specialties

  • Urology Physician
  • Eunice, LA
  • NPI 1598620445
  NPD
• CLHG-Avoyelles LLC

  dba Cottonport Family Care Center

  • Family Medicine Physician
  • Cottonport, LA
  • NPI 1063211944
  NPD
• CLHG-Avoyelles LLC

  dba Lecompte Family Care Center

  • Rural Health Clinic/Center
  • Lecompte, LA
  • NPI 1912598418
  NPD

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

• Acadia-St. Landry Hospital Service District

  dba Acadia-St. Landry Hospital

  • Critical Access Hospital
  • Church Point, LA
  • NPI 1376540153
  Care Compare affiliation
• CLHG-Acadian, LLC

  dba Acadian Medical Center

  • General Acute Care Hospital
  • Eunice, LA
  • NPI 1396394961
  Care Compare affiliation

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

{
    "created_epoch": "1521072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1366945388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23699 QUAIL LANE",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "70448",
            "telephone_number": "985-334-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23699 QUAIL LANE",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "70448",
            "telephone_number": "985-334-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGGINBOTHAM",
        "first_name": "TARA",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-15",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "227420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oana Herrington
• Brian Patrick Hickey, RPH
• Kristen Mechelle Hickey
• Sierah Hicks, RN
• Cinamon Wells Higbee, M.A., CCC/SLP
• Abby Glynne Hildebrand
• Donna Hill, LPC
• Thomas Hingle, CNIM
• Sarita Hithe, DDS
• HMS (Home Medical Supplies) LLC (HMS)

• Psychiatric/Mental Health Nurse Practitioner in Mandeville, LA
• Providers in Mandeville, LA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.