Individual provider Active NPI

Tina Marilyn Harper, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Metairie, LA
National Provider Identifier
1609448703
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
221155 Issued in LA
Practice address
3801 N Causeway Blvd Ste 301
Metairie, LA 70002-1756
Phone
(504) 229-2009
NPI assigned
Jul 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 221155 LA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 221155 LA Primary

Addresses

Primary practice location

3801 N Causeway Blvd Ste 301
Metairie, LA 70002-1756

Mailing address

1513 Dogwood Dr
Harvey, LA 70058-3805
Phone (908) 468-1914

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, TX, CA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20221018000602 LA Practitioner - Nurse Practitioner 2264808138
I20231208000352 TX Practitioner - Nurse Practitioner 2264808138
I20260515003740 CA Practitioner - Nurse Practitioner 2264808138 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12301 Wilshire Blvd
Los Angeles, CA 90025-1053

12301 Wilshire Blvd
Suite 512
Los Angeles, CA 90025-1022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eleanor Health Professional la, LLC CurrentSince Oct 1, 2022 Accepting new patients
Harper-Kency Recovery Psychiatric/Mental Health CurrentSince May 27, 2024 Accepting new patients
Office of Behavioral Medicine Family CurrentSince Oct 24, 2023 Accepting new patients

Locations

3975 Oneal Ln
Ste B
Baton Rouge, LA 70816
Phone (225) 267-9792

3901 Houma Blvd
Ste 404
Metairie, LA 70006
Phone (504) 226-8768

3801 N Causeway Blvd
Ste 301
Metairie, LA 70002
Phone (504) 229-2244

704 Longmire Rd
Ste 200
Conroe, TX 77304
Phone (888) 988-6329

15603 Kuykendahl Rd
Ste 321
Houston, TX 77090
Phone (832) 338-7103

15603 Kuykendahl Rd
Ste 300
Houston, TX 77090
Phone (307) 689-8900

Interoperability endpoints

  • Direct secure messaging: tina.harper.1@9357.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1626393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1609448703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 DOGWOOD DR",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700583805",
            "telephone_number": "908-468-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 N CAUSEWAY BLVD STE 301",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700021756",
            "telephone_number": "504-229-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARPER",
        "first_name": "TINA",
        "middle_name": "MARILYN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-16",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "221155",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "221155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.