Tracy T Aljabi, FNP
Individual provider Active NPI Family Nurse Practitioner · Covington, LA
NPI 1568092013 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1568092013
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 903794 (MS)
- Practice address
- 648 Crestwood Dr.
Covington, LA 70433 - Phone
- (504) 228-0372
- NPI assigned
- Jan 23, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 12
Medicare Care Compare profile
- 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, LLC
Practice addresses (Care Compare)
648 Crestwood Blvd
Covington, LA 70433-8261
Phone (985) 805-2555
Hospital & facility affiliations
- Slidell Memorial Hospital
- St Tammany Parish Hospital
- Ochsner Medical Center Acute
- Riverside Medical Center
- North Oaks Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in LA, MS
- 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 |
|---|---|---|---|---|
| I20200401001376 | LA | Practitioner - Nurse Practitioner | 4880023506 | Reassigns benefits to 1 organization |
| I20210629003246 | MS | Practitioner - Nurse Practitioner | 4880023506 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- 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 |
Locations
5001 Highway 190 East Service Rd
Ste D6
Covington, LA 70433
Phone (504) 444-7786
648 Crestwood Blvd
Covington, LA 70433
Phone (904) 962-6005
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) 463-8939
134 Marion Ave
McComb, MS 39648
Phone (601) 557-2555
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HBABBD
Specialties & licenses
| 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 | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 211863 | Other | LA | STATE LICENSE |
| 056763 | Other | LA | STATE NARCOTICS LICENSE |
Other providers in Covington, LA
- Charles Franklin Alexander Jr.
- Jamie Drinkard Alford
- Ashle' Alfred
- William John Alfred V
- Farah Ali
- All American Medical Equipment, LLC
- Beth Allbritton
- Jordan David Alleman
- Alma Rivera-Levy, M.D., Apmc
- Ben A. Almerico
All providers in Covington, 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 7, 2023. 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.