Tara Comeaux Rudloff, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APO5615 Issued in LA

Practice address

4700 S I 10 Service Rd W
Metairie, LA 70001-1269

Phone

(504) 780-4434

Fax

(504) 780-4316

NPI assigned

Jan 13, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1912547480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 BROCKENBRAUGH CT",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700052710",
            "telephone_number": "504-606-3064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 S I 10 SERVICE RD W",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700011269",
            "telephone_number": "504-780-4434",
            "fax_number": "504-780-4316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDLOFF",
        "first_name": "TARA",
        "middle_name": "COMEAUX",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-13",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "APO5615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alisia Royal
• Kashia Royal
• Royaltee Transportation LLC
• Richard Lazar Rubin, MD
• Sherril Rudd, MSW LCSW
• Courtney Rudzik
• Byron Terry Rue, CRNA
• Christopher Rue, FNP-C
• Christian Corona Ruel, LMT
• Julie Corona Ruel, M.ED., LPC, NCC

• Family Nurse Practitioner in Metairie, LA
• Providers in Metairie, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; 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.