Lori Tarver, FNP
Individual provider Active NPI Family Nurse Practitioner · Moss Bluff, LA
NPI 1477201002 · NPPES record last updated Mar 14, 2022
Key facts
- NPI
- 1477201002
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 221583 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Imperial Health LLP
Practice addresses (Care Compare)
2000 Southwood Dr
Lake Charles, LA 70605-4181
Phone (337) 474-2856
Hospital & facility affiliations
- Christus Ochsner St Patrick Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220323002353 | LA | Practitioner - Nurse Practitioner | 3274928551 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 221583 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Calcasieu Urgent Care, LLC | Current |
Accepting new patients | |
| Imperial Health, LLP | Current |
Accepting new patients | |
| Calcasieu Urgent Care LLC | Current |
Accepting new patients | |
| Imperial Health LLP | Current |
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
- lori.tarver@1288.direct.myezyaccess.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 221583 | LA | Yes |
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
- Lori Watson
Other providers in Moss Bluff, LA
- Paul Pumilia
- Kristin Rena Quintela
- Joseph Romero
- Matthew Hunter Schexnider
- Robert Dale Spencer
- Kara Vantaggi
- Walgreen Co
- Walmart Pharmacy
- Brandon Scott Williams
All providers in Moss Bluff, LA · Family Nurse Practitioner in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.