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MISS TARA LYNN RHEUBOTTOM PA NPI 1134118466


NPI Information

NPI: 1134118466
Provider Name: MISS TARA LYNN RHEUBOTTOM, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: LOUISIANA DERMATOLOGY ASSOCIATES, LLC

PECOS Registration: Yes

Address:
10154 JEFFERSON HWY
BATON ROUGE, LA
ZIP 70809
Phone: (225) 927-5663
Get Directions

MISS Tara Lynn Rheubottom, PA is a medical physician assistant in Baton Rouge, LA with 24 years of experience. MISS Tara Lynn Rheubottom, PA NPI is 1134118466. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10154 JEFFERSON HWY
BATON ROUGE, LA
ZIP 70809-725
Phone: (225) 927-5663
Fax: (225) 928-7341

The NPI 1134118466 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • Biopsy of single growth of skin and/or tissue (HCPCS:11100)
  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)

The enumeration date for this NPI number is 10/19/2005 and was last updated on 3/31/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AM0700XPhysician AssistantMedicalPA.A10517LOUISIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.