DR. RONNIE VINCENT TARAVELLA (NPI# 1205804606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205804606 |
| Entity Type | Individual |
| Full Name | DR. RONNIE VINCENT TARAVELLA |
| Credential | M.D. |
| Practice Address |
7777 Hennessy Blvd Suite 302 Baton Rouge LA 70808-4300 |
| Mailing Address |
Po Box 14207 Baton Rouge LA 70898-4207 |
| Practice Telephone | 2257674668 |
| Practice Fax Number | 2257653430 |
| Mailing Telephone | 2257674668 |
| Mailing Fax Number | 2257653430 |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
016298 | LA | Allopathic & Osteopathic Physicians |
| X | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
016298 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1934755 | 05 |
| Street Address |
7777 HENNESSY BLVD SUITE 302 |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70808-4300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336143841 | Jeffrey Dean Hyde | Internal Medicine | 7777 Hennessy Blvd, Suite 1000, Baton Rouge, LA 70808-4300 | 2005-06-13 |
| 1487211397 | Karrie G Mccoy | Nurse Practitioner | 7777 Hennessy Blvd, Baton Rouge, LA 70808-4300 | 2019-05-27 |
| 1912466160 | Paige Cantrell Guillory | Student in an Organized Health Care Education/Training Program | 7777 Hennessy Blvd, Baton Rouge, LA 70808-4300 | 2019-03-18 |
| 1699267666 | Osaretin Charles Aimuyo | Pediatrics | 7777 Hennessy Blvd, Baton Rouge, LA 70808-4300 | 2018-06-05 |
| 1962992883 | John Ghassan | Student in an Organized Health Care Education/Training Program | 7777 Hennessy Blvd, Baton Rouge, LA 70808-4300 | 2018-05-16 |
| 1003312414 | Jamie Nicole Scharfschwerdt | Student in an Organized Health Care Education/Training Program | 7777 Hennessy Blvd, Baton Rouge, LA 70808-4300 | 2018-04-04 |
| 1356859888 | Kristen Pilcher Boudreaux | Nurse Anesthetist, Certified Registered | 7777 Hennessy Blvd, Ste 301, Baton Rouge, LA 70808 | 2018-01-18 |
| 1548784192 | Erickia Lee Le Meunier | Nurse Practitioner | 7777 Hennessy Blvd, Baton Rouge, LA 70808-4300 | 2017-07-26 |
| 1215457023 | Amy Miller | Nurse Practitioner | 7777 Hennessy Blvd, Baton Rouge, LA 70808-4300 | 2017-06-22 |
| 1053852806 | Kathryn Tetreault | Nurse Anesthetist, Certified Registered | 7777 Hennessy Blvd, Suite 301, Baton Rouge, LA 70808-4300 | 2017-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790313161 | Leah Michelle Dlugolecki | Student in an Organized Health Care Education/Training Program | Lsu Psychiatry Residency Program, 5246 Brittany Drive, Baton Rouge, LA 70808 | 2020-03-31 |
| 1003376302 | Kristina Pham | Student in an Organized Health Care Education/Training Program | 5246 Brittany Drive, 3rd Floor, Baton Rouge, LA 70808 | 2019-03-22 |
| 1083174486 | John Jay Hogan | Student in an Organized Health Care Education/Training Program | Lsu Emergency Medicine Residency Program, 5246 Brittany Drive, Baton Rouge, LA 70808 | 2019-03-21 |
| 1033682075 | Joseph Bertell Davis Jr. | Case Manager/Care Coordinator | 2460 College Drive, Baton Rouge, LA 70808 | 2019-01-02 |
| 1508340886 | Jennifer Miatech | Student in an Organized Health Care Education/Training Program | 8585 Picardy Ave., Medical Tower 2, Baton Rouge, LA 70808 | 2018-09-21 |
| 1700389137 | Jenee Robins | Case Manager/Care Coordinator | 2100 College Dr Apt 159, Baton Rouge, LA 70808 | 2018-03-12 |
| 1952812893 | Da Vonna Dents | Behavioral Analyst | 418 Stoney Creek Ave, Baton Rouge, LA 70808 | 2017-10-18 |
| 1962925669 | Katharine Elizabeth Blum | Counselor | 7936 Wrenwood Blvd. Ste A, Baton Rouge, LA 70808 | 2017-07-25 |
| 1801316120 | Amie Jackson | Social Worker | 5420 Corporate Blvd. Ste 308, Baton Rouge, LA 70808 | 2017-06-27 |
| 1235660713 | Melissa A Eddy-shelby | Student in an Organized Health Care Education/Training Program | 5000 Hennessy Blvs, Suite 6004, Baton Rouge, LA 70808 | 2017-03-25 |
| Find all providers in zip 70808 | ||||
| Taxonomy Code | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831131499 | Chandra M Katta | Psychiatry & Neurology | 7414 Sumrall Dr, Suite C, Baton Rouge, LA 70812-1240 | 2006-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225477235 | Angela K. Jubert | Psychiatry & Neurology | 5620 Read Blvd Fl 5, New Orleans, LA 70127-3106 | 2013-06-24 |
| 1619119567 | Nicholas Fluitt | Psychiatry & Neurology | 111 N Causeway Blvd Ste 222, Mandeville, LA 70448 | 2009-03-24 |
| 1699781591 | Brian D Monette | Psychiatry & Neurology | 1112 E Ascension Complex Ave., Gonzales, LA 70737 | 2006-07-31 |
| 1679501712 | Anwar Ismail | Psychiatry & Neurology | 4113 Williams Blvd., Kenner, LA 70065 | 2006-06-29 |
| 1730186750 | Alphonse Kenison Roy IIi | Psychiatry & Neurology | 4933 Wabash St, Metairie, LA 70001-1031 | 2005-07-05 |
| 1477103240 | Anthony Micheal Peperone | Psychiatry & Neurology | 4430 Highway 22 Ste B, Mandeville, LA 70471-3310 | 2019-09-13 |
| 1730660176 | Epiphany Healthcare System, Inc | Psychiatry & Neurology | 906 C M Fagan Dr Bldg A, Suite 6a, Hammond, LA 70403 | 2018-08-23 |
| 1104280825 | Jerrell Mitchell | Psychiatry & Neurology | 1542 Tulane Ave, New Orleans, LA 70112-2865 | 2016-04-08 |
| 1790129617 | Narissa Etwaroo | Psychiatry & Neurology | 1501 Kings Hwy, Psychiatry, Shreveport, LA 71103 | 2013-04-22 |
| 1306020698 | Biobehavioral Medicine Company, LLC | Psychiatry & Neurology | 4933 Wabash St, Metairie, LA 70001-1031 | 2007-12-21 |
| Find all providers with the same taxonomy | ||||
| City | BATON ROUGE |
| Zip Code | 70808 |
Please comment or provide details below to improve the information on DR. RONNIE VINCENT TARAVELLA.
| 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.