Individual provider Active NPI

Erica Varie Tate

  • Internal Medicine Physician
  • New Orleans, LA
National Provider Identifier
1720422066
Registry record updated Jan 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
304887 Issued in LA
Practice address
2000 Canal St
New Orleans, LA 70112
Phone
(504) 702-4200
Fax
(504) 702-5727
NPI assigned
Apr 17, 2013
Last updated
Jan 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 133923 CA
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 304887 LA Primary

Addresses

Primary practice location

2000 Canal St
New Orleans, LA 70112

Mailing address

1430 Tulane Ave # 8716
New Orleans, LA 70112-2632
Phone (504) 988-7518

Other practice location 1

14445 Olive View Dr # 2B-182
Sylmar, CA 91342
Phone (818) 364-3205

Other practice location 2

14445 Olive View Dr # 2B-182
Sylmar, CA 91342-1437
Phone (818) 364-3205

Other practice location 3

14445 Olive View Dr # 2B-182
Sylmar, CA 91342
Phone (818) 364-3205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, LA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160419002710 CA Practitioner - Internal Medicine 0749588085 Reassigns benefits to 1 organization
I20170714001434 LA Practitioner - Internal MedicinePractitioner - Geriatric Medicine 0749588085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1415 Tulane Ave
New Orleans, LA 70112-2600
Phone (504) 988-5800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
133923CAMDMarriage & Family Therapist
304887LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Administrators of the Tulane Educational Fund CurrentSince Aug 1, 2017 Accepting new patients
County of Los Angeles CurrentSince Apr 15, 2016 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Aug 1, 2017 Accepting new patients
County of Los Angeles CurrentSince Apr 15, 2016 Accepting new patients
Tulane University Medical Group Past Accepting new patients

Locations

14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303

14445 Olive View Dr
#2B182
Sylmar, CA 91342
Phone (747) 210-3205

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

1430 Tulane Ave
#8516
New Orleans, LA 70112

1430 Tulane Ave
#8716
New Orleans, LA 70112
Phone (504) 988-7518

1901 Tulane Ave
#A
New Orleans, LA 70112

1901 Tulane Ave
#B
New Orleans, LA 70112

2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287

2000 Canal St
#2
New Orleans, LA 70112

2000 Canal St
Fl 2
New Orleans, LA 70112
Phone (504) 702-2275

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GCFJBA

Organizations & group practices 5

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.

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": "1366156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547769600000",
    "number": "1720422066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 TULANE AVE # 8716",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122632",
            "telephone_number": "504-988-7518",
            "fax_number": "504-988-8252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 CANAL ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70112",
            "telephone_number": "504-702-4200",
            "fax_number": "504-702-5727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14445 Olive View Dr # 2B-182",
            "address_purpose": "LOCATION",
            "city": "Sylmar",
            "state": "CA",
            "postal_code": "91342",
            "country_code": "US",
            "telephone_number": "818-364-3205",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14445 Olive View Dr # 2B-182",
            "address_purpose": "LOCATION",
            "city": "Sylmar",
            "state": "CA",
            "postal_code": "913421437",
            "country_code": "US",
            "telephone_number": "818-364-3205",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14445 Olive View Dr # 2B-182",
            "address_purpose": "LOCATION",
            "city": "Sylmar",
            "state": "CA",
            "postal_code": "91342",
            "country_code": "US",
            "telephone_number": "818-364-3205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TATE",
        "first_name": "ERICA",
        "middle_name": "VARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-17",
        "last_updated": "2019-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "133923",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "304887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.