Individual provider Active NPI

Mong Thao Trisha Le, PA-C

  • Medical Physician Assistant
  • Belle Chasse, LA
National Provider Identifier
1629490016
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA200686 Issued in LA
Practice address
7772 Highway 23 Ste a
Belle Chasse, LA 70037-2030
Phone
(504) 371-9370
NPI assigned
Jan 20, 2014
Last updated
Apr 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA200686 LA Primary

Addresses

Primary practice location

7772 Highway 23 Ste a
Belle Chasse, LA 70037-2030

Mailing address

7772 Highway 23
Belle Chasse, LA 70037-2060
Phone (504) 371-9355

Other identifiers 2

IdentifierTypeStateIssuer
04582570MedicaidMS
2355767MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA200686LAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Mar 10, 2014 Accepting new patients
Healthtexas Provider Network CurrentSince Jun 21, 2021 Accepting new patients
Healthtexas Provider Network CurrentSince Jun 21, 2021 Accepting new patients
Ochsner Clinic LLC CurrentSince Mar 10, 2014 Accepting new patients
Ochsner Pharmacy and Wellness, LLC Past Accepting new patients
Ochsner Clinic LLC Past Accepting new patients

Locations

7772 Highway 23
Belle Chasse, LA 70037
Phone (504) 371-3970

7772 Highway 23
Ste A
Belle Chasse, LA 70037
Phone (504) 371-9370

1514 Jefferson Hwy
New Orleans, LA 70121

100 Medical Center Dr
Slidell, LA 70461
Phone (504) 392-3131

301 N Washington Ave
Dallas, TX 75246
Phone (469) 800-8330

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

Interoperability endpoints

  • Direct secure messaging: mle191251@direct.ochsner.org
  • Direct secure messaging: mle825511@direct.sw.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1390176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1629490016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7772 HIGHWAY 23",
            "city": "BELLE CHASSE",
            "state": "LA",
            "postal_code": "700372060",
            "telephone_number": "504-371-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7772 HIGHWAY 23 STE A",
            "city": "BELLE CHASSE",
            "state": "LA",
            "postal_code": "700372030",
            "telephone_number": "504-371-9370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "MONG THAO",
        "middle_name": "TRISHA",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-20",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "LA",
            "license": "PA200686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04582570",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2355767",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belle Chasse, LA

Sources for this page

Verify at the official NPI Registry.