NORTHLAKE MEDICINE AND WELLNESS CENTER, LLC (NPI# 1073693958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073693958 |
| Entity Type | Organization |
| Organization Name | NORTHLAKE MEDICINE AND WELLNESS CENTER, LLC |
| Practice Address |
1980 N Highway 190 Covington LA 70433-5158 |
| Practice Telephone | 9858096195 |
| Practice Fax Number | 9858096199 |
| Mailing Telephone | 9858096195 |
| Mailing Fax Number | 9858096199 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2010-08-16 |
| Authorized Official Name | DR. TANIA ANN LEVI (OWNER) |
| Authorized Official Telephone | 9858096195 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
018251 | LA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1378054 | 05 |
| Street Address |
1980 N HIGHWAY 190 |
| City | COVINGTON |
| State | LA |
| Zip Code | 70433-5158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629058813 | Tania A Levi | Internal Medicine | 1980 N Highway 190, Covington, LA 70433-5158 | 2006-01-23 |
| 1255572186 | Kennedy E Smith | Nurse Practitioner | 1980 N Highway 190, Covington, LA 70433-5158 | 2009-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790301018 | Caroline K. Wilson | Speech-Language Pathologist | 19105 Sandy Lane Suite A, Covington, LA 70433 | 2020-06-23 |
| 1568092013 | Tracy T Aljabi | Nurse Practitioner | 648 Crestwood Dr., Covington, LA 70433 | 2020-01-23 |
| 1093365462 | Maria Robert Hebrock | Marriage & Family Therapist | 71338 La-21, Suite 101, Covington, LA 70433 | 2019-09-17 |
| 1750930806 | Terry Fink Troxler | Speech-Language Pathologist | 521 Covington Point Dr, Covington, LA 70433 | 2019-09-10 |
| 1780231589 | Margaret Nordness Favre | Behavioral Analyst | 3999 Us-190, Covington, LA 70433 | 2019-08-26 |
| 1881241180 | Jennifer Ann Bacile | Counselor | 604 E 15th Street, Covington, LA 70433 | 2019-08-21 |
| 1356906689 | Moving and Caring Transportation LLC | Non-emergency Medical Transport (VAN) | 251 Vintage Drive, Covington, LA 70433 | 2019-05-02 |
| 1780153874 | Nga Endoscopy Center LLC | Clinic/Center | 7015 Hwy 190 E Service Road Suite 103, Covington, LA 70433 | 2018-11-19 |
| 1831667229 | Geauxprodme | Durable Medical Equipment & Medical Supplies | 1304 Champagne Street, Covington, LA 70433 | 2018-11-05 |
| 1376037994 | Pamela Ann Bernabo | Specialist/Technologist, Other | 80 Maison Drive, Covington, LA 70433 | 2018-06-18 |
| Find all providers in zip 70433 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1366926040 | In and Out Urgent Care Covington, LLC | Clinic/Center | 13130 Hwy 1085, Suite 100, Covington, LA 70433-7829 | 2018-09-19 |
| 1942754361 | Careatc - Charms | Clinic/Center | 899 Hope St, Covington, TN 38019-1805 | 2016-08-15 |
| 1073066056 | Wellness for Life | Clinic/Center | 1325 2nd St Ste B, Covington, IN 47932-1009 | 2016-07-26 |
| 1245432350 | Covington Health Clinic Incorporated | Clinic/Center | 402 North Fifth Street, Covington, OK 73730-0093 | 2007-06-01 |
| 1639720030 | Careatc | Clinic/Center | 899 Hope St, Covington, TN 38019-1805 | 2019-09-26 |
| 1629586375 | Wade Family Medicine, LLC. | Clinic/Center | 115 S Munford St, Covington, TN 38019-2527 | 2018-01-16 |
| 1932641669 | The Family Practice At Northshore Counseling and Wellness, LLC | Clinic/Center | 201 Holiday Blvd, Suite 120, Covington, LA 70433-5088 | 2016-11-11 |
| 1093150468 | Covington Pediatrics, Pllc | Clinic/Center | 411 W Riverside St, Covington, VA 24426-1273 | 2013-04-30 |
| 1538400031 | Covington Chiropractic LLC | Clinic/Center | 26708 180th Ave Se, Suite102, Covington, WA 98042-4969 | 2013-03-07 |
| 1154330348 | Eastside Medspa and Family Practice Inc. | Clinic/Center | 7138 Highway 212, Suite D, Covington, GA 30016-8047 | 2006-08-05 |
| Find all providers in COVINGTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.