Active NPI
Tracy T Aljabi, FNP
- Family Nurse Practitioner
- Covington, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 903794
- Practice address
- 648 Crestwood Dr.
Covington, LA 70433 - Phone
- (504) 228-0372
- NPI assigned
- Jan 23, 2020
- Last updated
- Mar 7, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 211863 | LA | MD | Critical Care Medicine Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neuro Care of Louisiana, LLC | Current | Accepting new patients | |
| Neurocovery, LLC | Current | Accepting new patients | |
| SDL Medical Services, LLC | Past | 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
- 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.
-
dba Liberty Interventional Pain
- Interventional Pain Medicine Physician
- Slidell, LA
- NPI 1073046884
-
- Pharmacy
- Bogalusa, LA
- NPI 1801801436
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Hammond, LA
- NPI 1144227539
-
dba Ochsner Medical Center Acute
- General Acute Care Hospital
- New Orleans, LA
- NPI 1811973100
-
dba Riverside Pediatrics and Internal Medicine Clinic
- Clinic/Center
- Franklinton, LA
- NPI 1093189797
Hospital
-
dba Riverside Surgical Clinic
- Clinic/Center
- Franklinton, LA
- NPI 1104290949
Hospital
-
dba Riverside Cardiology Clinic
- Clinic/Center
- Franklinton, LA
- NPI 1538634977
Hospital
-
- Critical Access Hospital
- Franklinton, LA
- NPI 1700874062
-
dba Riverside Specialty Clinic
- Clinic/Center
- Franklinton, LA
- NPI 1710438361
Hospital
-
dba Riverside Internal Medicine Clinic
- Clinic/Center
- Franklinton, LA
- NPI 1952751679
Hospital
-
- General Acute Care Hospital
- Slidell, LA
- NPI 1578568481
-
dba St Tammany Physicians Network
- Internal Medicine Physician
- Covington, LA
- NPI 1083793582
Hospital
-
dba Northlake Pulmonary Associates at St Tammany Parish Hospital
- Pulmonary Disease Physician
- Covington, LA
- NPI 1285285874
Hospital
-
dba St. Tammany Parish Hospital
- General Acute Care Hospital
- Covington, LA
- NPI 1598798597
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.