Individual provider Active NPI

Rebecca Gayle Richard, P.A.

  • Medical Physician Assistant
  • Opelousas, LA
National Provider Identifier
1881842649
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA.200240 Issued in LA
Practice address
3975 I-49 South Service Rd
Suite #200
Opelousas, LA 70570
Phone
(337) 594-3980
Fax
(337) 594-3981
NPI assigned
Sep 5, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA.200240 LA Primary

Addresses

Primary practice location

3975 I-49 South Service Rd
Suite #200
Opelousas, LA 70570

Mailing address

P.O. Box 2118
Opelousas, LA 70571
Phone (337) 247-8660

Other names 1

  • Miss Rebecca Gayle Tate Former name

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
I20090821000073 LA Practitioner - Physician Assistant 7315091626 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1270 Attakapas Dr
Suite 404
Opelousas, LA 70570-6557
Phone (337) 943-7186

3975 I-49 S Services Rd
Suite 200
Opelousas, LA 70570-0775
Phone (337) 594-3980

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.200240LAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Opelousas General Health System CurrentSince Mar 4, 2019 Accepting new patients
Opelousas General Health System Physician Practices CurrentSince Mar 4, 2019 Accepting new patients
Opelousas General Hospital Authority Past Accepting new patients

Locations

1200 Hospital Dr
Ste 4
Opelousas, LA 70570
Phone (337) 447-4027

3935 I 49 S Service Rd
Opelousas, LA 70570
Phone (337) 594-6002

1270 Attakapas Dr
Ste 502
Opelousas, LA 70570
Phone (337) 942-9977

1200 Hospital Dr
Ste 5
Opelousas, LA 70570
Phone (337) 678-4285

1270 Attakapas Dr
Ste 404
Opelousas, LA 70570
Phone (337) 678-0918

3975 I 49 S Service Rd
Ste 200
Opelousas, LA 70570
Phone (337) 594-0750

1233 Wayne Gilmore Cir
Ste 250B
Opelousas, LA 70570
Phone (337) 407-1955

3975 I 49 S Service Rd
Ste 105
Opelousas, LA 70570
Phone (337) 597-0750

Interoperability endpoints

  • Direct secure messaging: rebecca.richard@opp.eclinicaldirectplus.com

Organizations & group practices 6

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.

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": "1220572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1881842649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 2118",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "70571",
            "telephone_number": "337-247-8660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3975 I-49 SOUTH SERVICE RD",
            "address_2": "SUITE #200",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "70570",
            "telephone_number": "337-594-3980",
            "fax_number": "337-594-3981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARD",
        "first_name": "REBECCA",
        "middle_name": "GAYLE",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-05",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "LA",
            "license": "PA.200240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "TATE",
            "middle_name": "GAYLE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Opelousas, LA

Sources for this page

Verify at the official NPI Registry.