Individual provider Active NPI

Yacara Tabb, DPM

  • Podiatrist
  • Luling, LA
National Provider Identifier
1942275367
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PD177R Issued in LA
Practice address
843 Milling Ave
Podiatry Dept
Luling, LA 70070-4442
Phone
(985) 463-3668
Fax
(985) 463-3668
NPI assigned
Feb 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PD177R LA Primary

Addresses

Primary practice location

843 Milling Ave
Podiatry Dept
Luling, LA 70070-4442

Mailing address

103 Smart PL Ste 2
Slidell, LA 70458-2070
Phone (985) 463-3668

Other identifiers 1

IdentifierTypeStateIssuer
1685585MedicaidLA

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050921000028 LA Practitioner - Podiatry 0244264166 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

103 Smart PL
Suite 2
Slidell, LA 70458-2070
Phone (985) 463-3668

Hospital & facility affiliations

  • Slidell Memorial Hospital Hospital, Slidell, LA, CCN 190040

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PD177RLAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Access Health Louisiana CurrentSince Feb 17, 2021 Accepting new patients
Optimum Foot Care, L.L.C. Podiatrist CurrentSince Aug 14, 2024 Accepting new patients
Advantage Foot Care, LLC Past Accepting new patients

Locations

501 Robert Blvd
Slidell, LA 70458
Phone (504) 757-3712

103 Smart Pl
Ste 2
Slidell, LA 70458

103 Smart Pl
#2
Slidell, LA 70458
Phone (985) 462-3668

Organizations & group practices 3

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": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1942275367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 SMART PL STE 2",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582070",
            "telephone_number": "985-463-3668",
            "fax_number": "985-463-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "843 MILLING AVE",
            "address_2": "PODIATRY DEPT",
            "city": "LULING",
            "state": "LA",
            "postal_code": "700704442",
            "telephone_number": "985-463-3668",
            "fax_number": "985-463-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABB",
        "first_name": "YACARA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-20",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "LA",
            "license": "PD177R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1685585",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Luling, LA

Sources for this page

Verify at the official NPI Registry.