Active NPI
Lauren Anne Tagorda, MD
- Pediatrics Physician
- Raceland, LA
National Provider Identifier
1386149144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 326410
- Practice address
- 110 Acadia Park Dr
Raceland, LA 70394-2618 - Phone
- (985) 537-8687
- Fax
- (985) 537-8976
- NPI assigned
- Mar 26, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 326410 | LA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
110 Acadia Park Dr
Raceland, LA 70394-2618
Mailing address
110 Acadia Park Dr
Raceland, LA 70394-2618
Phone (985) 537-8687
Other practice location 1
200 Henry Clay Ave
New Orleans, LA 70118-5798
Phone (504) 899-9511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 326410 | LA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childrens Clinic of Raceland LLC | Pediatrics | Current | Accepting new patients |
Locations
200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860
110 Acadia Park Dr
Raceland, LA 70394
Phone (504) 537-3507
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Raceland, LA
- NPI 1902009350
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621555200000",
"number": "1386149144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 ACADIA PARK DR",
"city": "RACELAND",
"state": "LA",
"postal_code": "703942618",
"telephone_number": "985-537-8687",
"fax_number": "985-537-8976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 ACADIA PARK DR",
"city": "RACELAND",
"state": "LA",
"postal_code": "703942618",
"telephone_number": "985-537-8687",
"fax_number": "985-537-8976"
}
],
"practiceLocations": [
{
"address_1": "200 Henry Clay Ave",
"address_purpose": "LOCATION",
"city": "New Orleans",
"state": "LA",
"postal_code": "701185798",
"country_code": "US",
"telephone_number": "504-899-9511",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAGORDA",
"first_name": "LAUREN",
"middle_name": "ANNE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-26",
"last_updated": "2021-05-21",
"certification_date": "2021-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "LA",
"license": "326410",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raceland, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.