Active NPI
Taylor Fradella-Doucet
- Neurology Physician
- Hammond, LA
National Provider Identifier
1851031561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 351619
- Practice address
- 15795 Paul Vega MD Drive
Hammond, LA 70403 - Phone
- (985) 230-7525
- Fax
- (985) 230-7335
- NPI assigned
- Mar 30, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Neurology Physician | 2084N0400X | 351619 | LA | Primary |
Addresses
Primary practice location
15795 Paul Vega MD Drive
Hammond, LA 70403
Mailing address
2215 Rue Weller
Mandeville, LA 70448-2348
Phone (985) 774-8524
Other practice location 1
2215 Rue Weller
Mandeville, LA 70448-2348
Phone (985) 774-8524
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 351619 | Other | LA | LICENSE |
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260526000418 | LA | Practitioner - Neurology | 5991275521 |
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Louisiana State University School of Medicine in New Orleans, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Hammond, LA 70404
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 351619 | LA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Oaks Medical Center, LLC | Current | Accepting new patients | |
| North Oaks Physician Group, LLC | Past | Accepting new patients |
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.
-
- General Acute Care Hospital
- Hammond, LA
- NPI 1972630705
-
- Multi-Specialty Clinic/Center
- Hammond, LA
- NPI 1427035211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778544000000",
"number": "1851031561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2215 RUE WELLER",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704482348",
"telephone_number": "985-774-8524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15795 PAUL VEGA MD DRIVE",
"city": "HAMMOND",
"state": "LA",
"postal_code": "70403",
"telephone_number": "985-230-7525",
"fax_number": "985-230-7335"
}
],
"practiceLocations": [
{
"address_1": "2215 Rue Weller",
"address_purpose": "LOCATION",
"city": "Mandeville",
"state": "LA",
"postal_code": "704482348",
"country_code": "US",
"telephone_number": "985-774-8524",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRADELLA-DOUCET",
"first_name": "TAYLOR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-30",
"last_updated": "2026-05-12",
"certification_date": "2026-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "LA",
"license": "351619",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "351619",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hammond, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; 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.