Active NPI
Emily Deanna Tassin, PHYSICIAN ASSISTANT
- Physician Assistant
- Lake Charles, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 349489
- Practice address
- 4150 Nelson Rd Ste D1
Lake Charles, LA 70605-4133 - Phone
- (337) 508-1000
- Fax
- (337) 335-0701
- NPI assigned
- Aug 5, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 349489 | LA | Primary |
Addresses
Primary practice location
4150 Nelson Rd Ste D1
Lake Charles, LA 70605-4133
Mailing address
501 Dr Michael Debakey Dr
Lake Charles, LA 70601-5724
Phone (337) 312-8360
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
501 Doctor Michael Debakey Dr
Lake Charles, LA 70601-5724
Phone (337) 433-8400
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 349489 | LA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imperial Health LLP | Current | Accepting new patients | |
| Imperial Health, LLP | Current | Accepting new patients |
Locations
4150 Nelson Rd
Ste D1
Lake Charles, LA 70605
Phone (337) 474-6960
501 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 312-8258
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.
-
- Family Medicine Physician
- Lake Charles, LA
- NPI 1053352401
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Lake Charles, LA
- NPI 1740982115
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Combre-Fondel Elementary SBHC
- Student Health Clinic/Center
- Lake Charles, LA
- NPI 1093927105
Hospital
-
dba Molo Middle SBHC
- Student Health Clinic/Center
- Lake Charles, LA
- NPI 1205040995
Hospital
-
dba South Cameron High SBHC
- Student Health Clinic/Center
- Grand Chenier, LA
- NPI 1407068299
Hospital
-
dba Christus Ochsner St Patrick Hospital
- General Acute Care Hospital
- Lake Charles, LA
- NPI 1629076468
-
dba Clifton Elementary SBHC
- Student Health Clinic/Center
- Lake Charles, LA
- NPI 1710191473
Hospital
-
dba Beauregard Memorial Hospital
- Rural Acute Care Hospital
- Deridder, LA
- NPI 1831193499
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760918400000",
"number": "1699659326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 DR MICHAEL DEBAKEY DR",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706015724",
"telephone_number": "337-312-8360",
"fax_number": "337-312-6708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4150 NELSON RD STE D1",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706054133",
"telephone_number": "337-508-1000",
"fax_number": "337-335-0701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TASSIN",
"first_name": "EMILY",
"middle_name": "DEANNA",
"credential": "PHYSICIAN ASSISTANT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-05",
"last_updated": "2025-10-20",
"certification_date": "2025-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "LA",
"license": "349489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.