Individual provider Active NPI

Tracy T Aljabi, FNP

  • Family Nurse Practitioner
  • Covington, LA
National Provider Identifier
1568092013
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
903794 Issued in MS
Practice address
648 Crestwood Dr.
Covington, LA 70433
Phone
(504) 228-0372
NPI assigned
Jan 23, 2020
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Nurse Practitioner 363LC0200X 211863 LA
Family Nurse Practitioner 363LF0000X 211863 LA
Family Nurse Practitioner 363LF0000X 903794 MS Primary

Addresses

Primary practice location

648 Crestwood Dr.
Covington, LA 70433

Mailing address

13 Shadowwood Dr
Carriere, MS 39426-8176
Phone (504) 228-0372

Other practice location 1

433 Plaza St Ste 3A
Bogalusa, LA 70427-3729
Phone (985) 730-6970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200401001376 LA Practitioner - Nurse Practitioner 4880023506 Reassigns benefits to 1 organization
I20210629003246 MS Practitioner - Nurse Practitioner 4880023506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neuro Care of Louisiana, LLCGroup PAC ID 0143514083, 7 clinicians

Practice addresses (Care Compare)

648 Crestwood Blvd
Covington, LA 70433-8261
Phone (985) 805-2555

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
211863LAMDCritical Care Medicine Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neuro Care of Louisiana, LLC CurrentSince Feb 24, 2020 Accepting new patients
Neurocovery, LLC CurrentSince Mar 22, 2020 Accepting new patients
SDL Medical Services, LLC PastSince Apr 15, 2023 Accepting new patients
Washington St. Tammany Regional Medical Center Past Accepting new patients

Locations

5001 Highway 190 East Service Rd
Ste D6
Covington, LA 70433
Phone (504) 444-7786

648 Crestwood Blvd
Covington, LA 70433
Phone (985) 288-1600

106 Smart Pl
Slidell, LA 70458
Phone (504) 486-5353

1150 Robert Blvd
Ste 220
Slidell, LA 70458
Phone (985) 646-4444

202C Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 220-5200

134 Marion Ave
McComb, MS 39648
Phone (601) 557-2555

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HBABBD

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 12

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": "1579737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1568092013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 SHADOWWOOD DR",
            "city": "CARRIERE",
            "state": "MS",
            "postal_code": "394268176",
            "telephone_number": "504-228-0372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 CRESTWOOD DR.",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "70433",
            "telephone_number": "504-228-0372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "433 Plaza St Ste 3A",
            "address_purpose": "LOCATION",
            "city": "Bogalusa",
            "state": "LA",
            "postal_code": "704273729",
            "country_code": "US",
            "telephone_number": "985-730-6970",
            "fax_number": "985-730-7269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALJABI",
        "first_name": "TRACY",
        "middle_name": "T",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-23",
        "last_updated": "2023-03-07",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "LA",
            "license": "211863",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "211863",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.