Individual provider Active NPI

Tangela Thomas Robertson, NP

  • Family Nurse Practitioner
  • Morgan City, LA
National Provider Identifier
1942608997
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP08081 Issued in LA
Practice address
215 Everett St
Morgan City, LA 70380-3618
Phone
(985) 354-6081
Fax
(985) 354-6087
NPI assigned
Dec 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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 AP08081 LA
Family Nurse Practitioner 363LF0000X AP08081 LA Primary

Addresses

Primary practice location

215 Everett St
Morgan City, LA 70380-3618

Mailing address

215 Everett St
Morgan City, LA 70380-3618
Phone (985) 354-6081

Other identifiers 1

IdentifierTypeStateIssuer
2386425MedicaidLA

Other names 1

  • Tangela Denise Thomas Former name

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150422001650 LA Practitioner - Nurse Practitioner 6901124916 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MDB Behavioral Health Services LLCGroup PAC ID 0749572915, 201 clinicians

Practice addresses (Care Compare)

1911 Mission
Vicksburg, MS 39180-3762
Phone (601) 456-2598

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP08081LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary Emergency Group LLC Nurse Practitioner CurrentSince Jun 25, 2017 Accepting new patients
Hulin Urgent Care Services LLC CurrentSince Dec 27, 2021 Accepting new patients
South Central Louisiana Human CurrentSince Jul 16, 2018 Accepting new patients
Thibodaux Emergency Physicians Group LLC CurrentSince Nov 9, 2016 Accepting new patients
Hulin Urgent Care Services LLC CurrentSince Dec 27, 2021 Accepting new patients
Main Street Emergency Group LLC Nurse Practitioner CurrentSince Jul 14, 2019 Accepting new patients

Locations

158 Regal Row
Houma, LA 70360
Phone (985) 876-8889

500 Roderick St
Ste B
Morgan City, LA 70380
Phone (985) 380-2460

1125 Marguerite St
Morgan City, LA 70380
Phone (985) 380-4434

1110 E Saint Peter St
New Iberia, LA 70560
Phone (337) 364-1166

2315 E Main St
New Iberia, LA 70560
Phone (337) 364-0441

157 Twin Oaks Dr
Raceland, LA 70394
Phone (985) 537-6823

602 N Acadia Rd
Thibodaux, LA 70301
Phone (985) 493-4544

Interoperability endpoints

  • Direct secure messaging: tangela.robertson.1@22136.direct.athenahealth.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1942608997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 EVERETT ST",
            "city": "MORGAN CITY",
            "state": "LA",
            "postal_code": "703803618",
            "telephone_number": "985-354-6081",
            "fax_number": "985-354-6081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 EVERETT ST",
            "city": "MORGAN CITY",
            "state": "LA",
            "postal_code": "703803618",
            "telephone_number": "985-354-6081",
            "fax_number": "985-354-6087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "TANGELA",
        "middle_name": "THOMAS",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-08",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "AP08081",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP08081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2386425",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANGELA",
            "last_name": "THOMAS",
            "middle_name": "DENISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Morgan City, LA

Sources for this page

Verify at the official NPI Registry.