Individual provider Active NPI

Tessa D Renaud, NP

  • Nurse Practitioner
  • Baton Rouge, LA
National Provider Identifier
1689611394
Registry record updated Sep 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN101465 AP04779 Issued in LA
Practice address
500 Rue de la Vie St
Ste 100
Baton Rouge, LA 70817-5126
Phone
(225) 201-2000
Fax
(225) 201-2110
NPI assigned
Jun 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN101465 AP04779 LA Primary

Addresses

Primary practice location

500 Rue de la Vie St
Ste 100
Baton Rouge, LA 70817-5126

Mailing address

500 Rue de la Vie St
Ste 100
Baton Rouge, LA 70817-5126
Phone (225) 201-2000

Other identifiers 1

IdentifierTypeStateIssuer
1631264MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050808000009 LA Practitioner - Nurse Practitioner 3870522147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Louisiana Women'S Healthcare Associates LLCGroup PAC ID 4587629365, 37 clinicians

Practice addresses (Care Compare)

500 Rue de la Vie St
Baton Rouge, LA 70817-5127
Phone (225) 201-2000

Hospital & facility affiliations

  • Womans Hospital Hospital, Baton Rouge, LA, CCN 190128

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN101465 AP04779LAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana Women'S Healthcare Associates LLC. CurrentSince Jun 8, 2005 Accepting new patients

Locations

500 Rue de la Vie St
Ste 100
Baton Rouge, LA 70817
Phone (225) 201-2000

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348704000000",
    "number": "1689611394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 RUE DE LA VIE ST",
            "address_2": "STE 100",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708175126",
            "telephone_number": "225-201-2000",
            "fax_number": "225-201-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 RUE DE LA VIE ST",
            "address_2": "STE 100",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708175126",
            "telephone_number": "225-201-2000",
            "fax_number": "225-201-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENAUD",
        "first_name": "TESSA",
        "middle_name": "D",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2012-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "RN101465 AP04779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1631264",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.