Tammy Tate-Gobert, ANP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APO4589 Issued in LA

Practice address

1701 Oak Park Blvd
Lake Charles, LA 70601-8911

Phone

(337) 494-2121

Fax

(337) 494-2360

NPI assigned

May 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ttategobert5284450@direct.casso.us.com

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.

• James G. Maze, MD, Apmc

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  Medicare reassignment NPD
• Lake Charles Medical Services Orthopedics Associates LLC

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  • Lake Charles, LA
  • NPI 1962695361
  Medicare reassignment
• General Medicine, P.C.

  • Geriatric Medicine (Internal Medicine) Physician
  • Novi, MI
  • NPI 1811945199

  Nurse Practitioner

  NPD (past)

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1508816968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1395",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706021395",
            "telephone_number": "337-494-2121",
            "fax_number": "337-494-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 OAK PARK BLVD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018911",
            "telephone_number": "337-494-2121",
            "fax_number": "337-494-2360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1717 Oak Park Blvd Fl 3",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706018990",
            "country_code": "US",
            "telephone_number": "337-494-2919",
            "fax_number": "337-494-2919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TATE-GOBERT",
        "first_name": "TAMMY",
        "credential": "ANP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "APO4589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMEDICARE",
            "identifier": "P00214394",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1594873",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mitchell Royce Talley, DPT
• April Tanner, PLPC
• Kenyettra Tasker, BA
• Emily Deanna Tassin, PHYSICIAN ASSISTANT
• Joseph Paul Tassin Jr., DDS
• Joseph Troy Tate, BS
• Kalie Tate, OTR
• Sarah Tate, SLP
• Whitney Janae Tate, PA-C
• Lakshmi Tatineni, MD

• Nurse Practitioner in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.