Tammy M Bretey, N.P.
Individual provider Active NPI Nurse Practitioner · Covington, LA
NPI 1649445115 · NPPES record last updated Sep 25, 2009
Key facts
- NPI
- 1649445115
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- AP05447 (LA)
- Practice address
- 1970 N Hwy 190
Covington, LA 70433-5158 - Phone
- (985) 867-8585
- Fax
- (985) 867-3644
- NPI assigned
- Apr 25, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Exceed Physical Therapy, LLC
Curana Health of Mississippi LLC
CH MSSP Services Ms LLC
Practice addresses (Care Compare)
12261 Hwy 49
Gulfport, MS 39503-2976
Phone (228) 265-7185
232 Market St
Flowood, MS 39232-3339
Phone (337) 991-9276
Hospital & facility affiliations
- Highland Community Hospital
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 |
|---|---|---|---|---|
| I20090205000195 | LA | Practitioner - Nurse Practitioner | 8224192232 | Reassigns benefits to 2 organizations |
| I20121015000702 | MS | Practitioner - Nurse Practitioner | 8224192232 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Curana Health of Mississippi LLC | Current |
Accepting new patients | |
| CH MSSP Services Ms LLC | Current |
Accepting new patients | |
| Curana Health of Louisiana LLC | Current |
Accepting new patients | |
| Frank J Arena MD, Apmc | Past | Accepting new patients |
Locations
2900 Westfork Dr
Ste 401
Baton Rouge, LA 70827
Phone (225) 953-0895
1509 Dulles Dr
Lafayette, LA 70506
Phone (337) 408-0803
2614 Jefferson Hwy
New Orleans, LA 70121
Phone (504) 291-5100
100 Kingston Rd
Sulphur, LA 70663
Phone (318) 446-1667
232 Market St
Jackson, MS 39232
Phone (588) 498-6767
9155 Crestwyn Hills Dr
Memphis, TN 38125
Phone (901) 261-4848
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP05447 | LA | Yes |
Addresses
Primary practice location
1970 N Hwy 190
Covington, LA 70433-5158
Mailing address
PO Box 3370
Covington, LA 70434-3370
Phone (985) 867-8585
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1793272 | Medicaid | LA | |
| P00741734 | Other | LA | RRMC |
Other providers in Covington, LA
- Kelli Braud
- Bravo Dermatology LLC
- Misty Melerine Breakfield
- Tara Bremond
- Sarah Elizabeth Bresee
- Tammy Brewer
- Kelly N Brewster
- Brian D. Osborn, LCSW, LLC
- Bright Beginnings Behavioral Therapy, LLC
- Sarah Crowton Brignac
All providers in Covington, LA · 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 Sep 25, 2009. 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.