Individual provider Active NPI

Tangela O'Prien, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Baker, LA
National Provider Identifier
1902077704
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
229672 Issued in LA
Practice address
15200 Scenic Highway
Baker, LA 70714
Phone
(225) 319-2701
NPI assigned
Mar 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 229672 LA Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X 116118 LA

Addresses

Primary practice location

15200 Scenic Highway
Baker, LA 70714

Mailing address

15200 Scenic Hwy
Baker, LA 70714
Phone (225) 319-2701

Other names 1

  • Tangela O'Prien Wilson Former name

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

LicenseStateTypeSpecialty
116118LAMDPsychiatric/Mental Health Registered Nurse
229672LAMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1902077704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15200 SCENIC HWY",
            "city": "BAKER",
            "state": "LA",
            "postal_code": "70714",
            "telephone_number": "225-319-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15200 SCENIC HIGHWAY",
            "city": "BAKER",
            "state": "LA",
            "postal_code": "70714",
            "telephone_number": "225-319-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'PRIEN",
        "first_name": "TANGELA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-19",
        "last_updated": "2023-06-01",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "229672",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "LA",
            "license": "116118",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANGELA",
            "last_name": "WILSON",
            "middle_name": "O'PRIEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Baker, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.