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

Last updated

Sep 14, 2023By the provider in NPPES

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

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Beacon Healing & Wellness LLC

  • Mental Health Counselor
  • Covington, LA
  • NPI 1457934903
  Medicare reassignment NPD
• Gulf Coast Behavioral Health, LLC

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

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Mind and Body Care LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Slidell, LA
  • NPI 1902684608
  NPD Authorized official
• Gulf Coast Integrative Health, Inc

  • Psychiatry Physician
  • Ocean Springs, MS
  • NPI 1730870544

  Psychiatric/Mental Health

  NPD
• 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": [],
    "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 (Magic Touch)
• 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.

• Psychiatric/Mental Health Nurse Practitioner in Slidell, LA
• Providers in Slidell, LA by specialty
• 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.