Individual provider Active NPI

Tara D Fisher, APRN, FNP-C

  • Family Nurse Practitioner
  • Prairieville, LA
National Provider Identifier
1699091975
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN106915-AP06074 Issued in LA
Practice address
14105 Highway 73 Ste 200
Prairieville, LA 70769-3626
Phone
(225) 673-8983
Fax
(225) 677-8983
NPI assigned
Apr 12, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN106915-AP06074 LA Primary

Addresses

Primary practice location

14105 Highway 73 Ste 200
Prairieville, LA 70769-3626

Mailing address

14105 Highway 73 Ste 200
Prairieville, LA 70769-3626
Phone (225) 673-8983

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
I20100722000233 LA Practitioner - Nurse Practitioner 2466584743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baton Rouge General Physicians IncGroup PAC ID 5193623643, 189 clinicians

Practice addresses (Care Compare)

14105 Hwy 73
Suite 200
Prairieville, LA 70769-3626
Phone (225) 673-8983

Merit-based Incentive Payment System (MIPS)

Final score
86.02 of 100Reported as group
Quality
74.57
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN106915-AP06074LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baton Rouge General Physicians, Inc. CurrentSince Mar 6, 2017 Accepting new patients
Baton Rouge General Physicians, Inc. CurrentSince Mar 6, 2017 Accepting new patients

Locations

13828 Coursey Blvd
Baton Rouge, LA 70817
Phone (225) 752-4530

9001 Summa Ave
Ste 448
Baton Rouge, LA 70809

14105 Highway 73
Ste 200
Prairieville, LA 70769
Phone (225) 588-1753

17520 Old Jefferson Hwy
Ste B
Prairieville, LA 70769
Phone (225) 673-8983

Organizations & group practices 2

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": "1271030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1699091975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14105 HIGHWAY 73 STE 200",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707693626",
            "telephone_number": "225-673-8983",
            "fax_number": "225-677-8983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14105 HIGHWAY 73 STE 200",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707693626",
            "telephone_number": "225-673-8983",
            "fax_number": "225-677-8983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "TARA",
        "middle_name": "D",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-12",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "RN106915-AP06074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prairieville, LA

Sources for this page

Verify at the official NPI Registry.