Individual provider Active NPI

Tonyell Lebeau Woodridge, FNP

  • Family Nurse Practitioner
  • Metairie, LA
National Provider Identifier
1700309721
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP09596 Issued in LA
Practice address
6521 Airline Dr
Metairie, LA 70003-5113
Phone
(504) 500-1473
NPI assigned
Jul 21, 2017
Last updated
Apr 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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 AP09596 LA Primary

Addresses

Primary practice location

6521 Airline Dr
Metairie, LA 70003-5113

Mailing address

40435 Augustin Ave
Prairieville, LA 70769-5868

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL oakstreethealth.com Health Information Exchange (HIE)

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
I20171205000309 LA Practitioner - Nurse Practitioner 0547535742 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Street Health Physicians Group of Louisiana LLCGroup PAC ID 6406261387, 26 clinicians

Practice addresses (Care Compare)

6521 Airline Dr
Metairie, LA 70003-5113
Phone (504) 534-1226

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health Physicians Group of Louisiana LLC Family CurrentSince Apr 25, 2022 Accepting new patients
Osh-in Physicians Group, PC Family PastSince Apr 25, 2022 Accepting new patients

Locations

5151 Plank Rd
Ste 210
Baton Rouge, LA 70805
Phone (225) 500-7028

6521 Airline Dr
Metairie, LA 70003
Phone (504) 534-1226

Interoperability endpoints

  • Direct secure messaging: tonyell.woodridge.p1@direct.alegiscare.nextgenshare.com
  • Direct secure messaging: tonyell.woodridge@oakstreethealth.gwaydirect.com
  • Direct secure messaging: twoodridge@landmarkhealth-direct.org

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, 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": "1500595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1700309721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40435 AUGUSTIN AVE",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707695868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6521 AIRLINE DR",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700035113",
            "telephone_number": "504-500-1473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODRIDGE",
        "first_name": "TONYELL",
        "middle_name": "LEBEAU",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-21",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP09596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "oakstreethealth.com",
            "affiliation": "N",
            "endpointDescription": "Clinic",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6521 Airline Dr",
            "city": "Metairie",
            "state": "LA",
            "country_code": "US",
            "postal_code": "700035113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.