Individual provider Active NPI

Tashika Edward, FNP

  • Family Nurse Practitioner
  • Vacherie, LA
National Provider Identifier
1992499248
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F06230247 Issued in LA
Practice address
115 Jessie LN
Vacherie, LA 70090-5122
Phone
(225) 623-9370
NPI assigned
Jun 7, 2023
Last updated
Jun 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F06230247 LA Primary

Addresses

Primary practice location

115 Jessie LN
Vacherie, LA 70090-5122

Mailing address

115 Jessie LN
Vacherie, LA 70090-5122
Phone (225) 623-9370

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
I20241001003875 LA Practitioner - Nurse Practitioner 1153852157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3201 S Carrollton Ave
New Orleans, LA 70118-4307
Phone (504) 207-3060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F06230247LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Marillac Community Health Centers Current Accepting new patients
Marillac Community Health Centers CurrentSince Sep 1, 2024 Accepting new patients
Marillac Community Health Centers CurrentSince Sep 1, 2024 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

100 Warrington Dr
New Orleans, LA 70122

1030 Lesseps St
New Orleans, LA 70117
Phone (504) 207-6287

12000 Hayne Blvd
New Orleans, LA 70128
Phone (504) 267-3882

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

3215 General Meyer Ave
New Orleans, LA 70114
Phone (504) 362-8930

3303 Higgins Blvd
New Orleans, LA 70126
Phone (504) 948-2873

5630 Read Blvd
New Orleans, LA 70127
Phone (504) 248-5357

5630 Read Blvd
Ste B
New Orleans, LA 70127

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1686096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1992499248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 JESSIE LN",
            "city": "VACHERIE",
            "state": "LA",
            "postal_code": "700905122",
            "telephone_number": "225-623-9370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 JESSIE LN",
            "city": "VACHERIE",
            "state": "LA",
            "postal_code": "700905122",
            "telephone_number": "225-623-9370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARD",
        "first_name": "TASHIKA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-07",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "F06230247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vacherie, LA

Sources for this page

Verify at the official NPI Registry.