Individual provider Active NPI

Lori Tarver, FNP

  • Family Nurse Practitioner
  • Moss Bluff, LA
National Provider Identifier
1477201002
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
221583 Issued in LA
Practice address
242 Sam Houston Jones Pkwy
Moss Bluff, LA 70611-5603
Phone
(337) 905-4000
Fax
(337) 905-4003
NPI assigned
Mar 14, 2022
Last updated
Mar 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 221583 LA Primary

Addresses

Primary practice location

242 Sam Houston Jones Pkwy
Moss Bluff, LA 70611-5603

Mailing address

PO Box 306416
Nashville, TN 37230-6416
Phone (931) 253-1110

Other names 1

  • Lori Watson Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220323002353 LA Practitioner - Nurse Practitioner 3274928551 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imperial Health LLPGroup PAC ID 7719886779, 75 clinicians

Practice addresses (Care Compare)

2000 Southwood Dr
Lake Charles, LA 70605-4181
Phone (337) 474-2856

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Imperial Health, LLP CurrentSince Aug 12, 2024 Accepting new patients
Calcasieu Urgent Care, LLC CurrentSince Mar 7, 2022 Accepting new patients
Calcasieu Urgent Care LLC CurrentSince Mar 7, 2022 Accepting new patients
Imperial Health LLP CurrentSince Aug 12, 2024 Accepting new patients

Locations

2000 Southwood Dr
Lake Charles, LA 70605
Phone (337) 474-2682

2640 Country Club Rd
Ste 400
Lake Charles, LA 70605
Phone (337) 426-0919

501 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 312-8258

242 Sam Houston Jones Pkwy
Moss Bluff, LA 70611
Phone (337) 905-4000

Interoperability endpoints

  • Direct secure messaging: lori.tarver@1288.direct.myezyaccess.com

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1477201002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306416",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306416",
            "telephone_number": "931-253-1110",
            "fax_number": "931-722-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 SAM HOUSTON JONES PKWY",
            "city": "MOSS BLUFF",
            "state": "LA",
            "postal_code": "706115603",
            "telephone_number": "337-905-4000",
            "fax_number": "337-905-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARVER",
        "first_name": "LORI",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-14",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "221583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "WATSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Moss Bluff, LA

Sources for this page

Verify at the official NPI Registry.