Eden Yumena Tablan, NURSE PRACTITIONER

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

RN091814 APO1236 Issued in LA

Practice address

1855 Ames Blvd
Marrero, LA 70072-3429

Phone

(504) 349-8802

Fax

(504) 349-8817

NPI assigned

Oct 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Woman'S Clinic of Marrero IncGroup PAC ID 7416940192, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• The Woman'S Clinic of Marrero Inc

  • Obstetrics & Gynecology Physician
  • Harvey, LA
  • NPI 1942362389
  Medicare reassignment Care Compare group NPD
• Optima Eye Care, LLC

  • Ophthalmology Physician
  • Harvey, LA
  • NPI 1891953980
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780768135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3521 LAKE KRISTIN DR",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700568346",
            "telephone_number": "504-349-8802",
            "fax_number": "504-349-8817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 AMES BLVD",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723429",
            "telephone_number": "504-349-8802",
            "fax_number": "504-349-8817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABLAN",
        "first_name": "EDEN",
        "middle_name": "YUMENA",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "LA",
            "license": "RN091814  APO1236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kellee R. Swider, P.A.
• Angel Haley Sylve, DDS
• Lindsey Marie Sylve, REGISTERED NURSE
• Nicole Sylvester, MSW
• T.Johnson & Associates, LLC
• Take the Lead Nola
• Tamer Acikalin MD a Professional Medical Corporation
• Ileana J Tandron, MD
• Rian M Tanenbaum, M.D.
• Tanika Hale DDS LLC

• Women's Health Nurse Practitioner in Marrero, LA
• Providers in Marrero, LA by specialty
• Women's Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.