Tina Duncan Malonson, APRN, FNP-C

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

211050 Issued in LA

Practice address

1428 Gause Blvd Ste 107
Slidell, LA 70458-2247

Phone

(985) 285-6843

NPI assigned

Jan 27, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

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

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.

• Beacon Healing & Wellness LLC

  • Mental Health Counselor
  • Covington, LA
  • NPI 1457934903

  LA

  Medicare reassignment NPD
• Gulf Coast Behavioral Health, LLC

  • Substance Abuse Rehabilitation Facility
  • Prairieville, LA
  • NPI 1043956527

  LA, Psychiatric/Mental Health

  Medicare reassignment NPD
• Mind and Body Care LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Slidell, LA
  • NPI 1902684608

  Psychiatric/Mental Health

  NPD Authorized official
• Vital Transitions Behavioral Healthcare Inc.

  • Mental Health Counselor
  • Baton Rouge, LA
  • NPI 1528614625
  NPD (past)

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1902437270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7095 HUNTERS WAY",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707265642",
            "telephone_number": "985-285-6843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 GAUSE BLVD STE 107",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582247",
            "telephone_number": "985-285-6843"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19405 Helenbirg Rd",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "LA",
            "postal_code": "704335197",
            "country_code": "US",
            "telephone_number": "985-288-1670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALONSON",
        "first_name": "TINA",
        "middle_name": "DUNCAN",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-27",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "211050",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "211050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1581453",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "file:///c:/programfiles(x86)/mumms/cpc/mumms.html",
            "affiliation": "N",
            "endpointDescription": "electronic medical records",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2840 W Airline Hwy Ste F",
            "city": "LA Place",
            "state": "LA",
            "country_code": "US",
            "postal_code": "700682952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stacy Blackwell Maggio, SA-C
• Magic Touch TM LLC
• Sophia Mai, M.D.
• Shelley Boyte Maillho, FNP-C
• Drionne Major
• Tyler Mancil, DPM
• Zohreh Mancil
• Balminder S Mangat, MD
• Edward Mannina, MD
• Jennifer Hinrichsen Maraia, M.D.

• All providers in Slidell, LA
• Psychiatric/Mental Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.