Active NPI
Tabitha Haralson
- Athletic Trainer
- Denham Springs, LA
National Provider Identifier
1801544895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 200284
- Practice address
- 36079 La-16
Denham Springs, LA 70706 - Phone
- (225) 665-8858
- NPI assigned
- Mar 17, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 200284 | LA | Primary |
Addresses
Primary practice location
36079 La-16
Denham Springs, LA 70706
Mailing address
8080 Bluebonnet Blvd Ste 1000
Baton Rouge, LA 70810-7827
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200284 | LA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647475200000",
"number": "1801544895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8080 BLUEBONNET BLVD STE 1000",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708107827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36079 LA-16",
"city": "DENHAM SPRINGS",
"state": "LA",
"postal_code": "70706",
"telephone_number": "225-665-8858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARALSON",
"first_name": "TABITHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-17",
"last_updated": "2022-03-17",
"certification_date": "2022-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "LA",
"license": "200284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denham Springs, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.