Tashika Edward, FNP
Individual provider Active NPI Family Nurse Practitioner · Vacherie, LA
NPI 1992499248 · NPPES record last updated Jun 7, 2023
Key facts
- NPI
- 1992499248
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- F06230247 (LA)
- Practice address
- 115 Jessie LN
Vacherie, LA 70090-5122 - Phone
- (225) 623-9370
- NPI assigned
- Jun 7, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Marillac Community Health Centers
Practice addresses (Care Compare)
3201 S Carrollton Ave
New Orleans, LA 70118-4307
Phone (504) 207-3060
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241001003875 | LA | Practitioner - Nurse Practitioner | 1153852157 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F06230247 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marillac Community Health Centers | Current |
Accepting new patients | |
| Marillac Community Health Centers | Current |
Accepting new patients | |
| Marillac Community Health Centers | Current | Accepting new patients | |
| Marillac Community Health Centers | Past | Accepting new patients | |
| Marillac Community Health Centers | Past | Accepting new patients | |
| Marillac Community Health Centers | Past | Accepting new patients | |
| Marillac Community Health Centers | Past | Accepting new patients |
Locations
1629 Westbank Expy
Harvey, LA 70058
Phone (504) 367-8777
3715 Williams Blvd
Ste 220
Kenner, LA 70065
Phone (504) 468-4437
111 N Causeway Blvd
Metairie, LA 70001
Phone (504) 482-0084
3116 6th St
Ste 101
Metairie, LA 70002
Phone (504) 837-9000
2801 General Degaulle Dr
Ste A
New Orleans, LA 70114
Phone (504) 362-8930
3201 S Carrollton Ave
New Orleans, LA 70118
Phone (504) 207-3019
1030 Lesseps St
New Orleans, LA 70117
Phone (504) 207-6287
3215 General Meyer Ave
New Orleans, LA 70114
Phone (504) 362-8930
12000 Hayne Blvd
New Orleans, LA 70128
Phone (504) 267-3882
3303 Higgins Blvd
New Orleans, LA 70126
Phone (504) 948-2873
100 Warrington Dr
New Orleans, LA 70122
Phone (504) 667-4300
5630 Read Blvd
New Orleans, LA 70127
Phone (504) 248-5357
5630 Read Blvd
Ste B
New Orleans, LA 70127
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F06230247 | LA | Yes |
Addresses
Primary practice location
115 Jessie LN
Vacherie, LA 70090-5122
Mailing address
115 Jessie LN
Vacherie, LA 70090-5122
Phone (225) 623-9370
Other providers in Vacherie, LA
- Myra A Cambre
- Julie B Chenier
- Sarat K Donepudi
- Juvania Dumas
- Marquita Dumas
- Kristin Dawn Fortier
- Gapp Health, Inc.
- Gapp Pharmacies LLC
- Gapp Urgent Care, LLC
- Govanna Gaudia
All providers in Vacherie, LA · Family Nurse Practitioner in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.