Active NPI
Tara Ashley Rossignol
- Athletic Trainer
- Pearl River, LA
National Provider Identifier
1487286035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 331226
- Practice address
- 65080 Ann St
Pearl River, LA 70452-5108 - Phone
- (985) 640-5077
- NPI assigned
- Feb 11, 2020
- Last updated
- Oct 6, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 331226 | LA | Primary |
Addresses
Primary practice location
65080 Ann St
Pearl River, LA 70452-5108
Mailing address
65080 Ann St
Pearl River, LA 70452-5108
Phone (985) 640-5077
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 331226 | LA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665014400000",
"number": "1487286035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65080 ANN ST",
"city": "PEARL RIVER",
"state": "LA",
"postal_code": "704525108",
"telephone_number": "985-640-5077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65080 ANN ST",
"city": "PEARL RIVER",
"state": "LA",
"postal_code": "704525108",
"telephone_number": "985-640-5077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSSIGNOL",
"first_name": "TARA",
"middle_name": "ASHLEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-11",
"last_updated": "2022-10-06",
"certification_date": "2022-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "LA",
"license": "331226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pearl River, LA
- Pearl River Pharmacy Inc.
- Pearl River RX Inc (Evans Drug Mart)
- Chyna Pierce
- Riverbend Therapeutics
- Nathan Ryan Roberts
- Deanna Rose Sisti, MS,ATC, LAT
- South East Imaging, LLC
- Southern Pines Family Medical (Southern Pines Family Medical Center)
- St Tammany Fire Protection District 11
- St. Tammany Parish School Board
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.