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NORTHLAKE MEDICINE AND WELLNESS CENTER, LLC
NPI 1073693958
Clinic/Center - Primary Care in Covington, LA

Active since October 16, 2006CLIA 19D1097436 · Waiver
1980 N HIGHWAY 190, COVINGTON, LA 70433(985) 809-6195(985) 809-6199 Get Directions Write a Review

NPPES record last updated: August 16, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Northlake Medicine And Wellness Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHLAKE MEDICINE AND WELLNESS CENTER, LLC (NPI 1073693958) is a healthcare organization registered as a primary care in Covington, Louisiana and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through March 25, 2027 and lists Tania Ann Levi, Owner, as its authorized official.

NPPES Registry Identity

NPI1073693958
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameNORTHLAKE MEDICINE AND WELLNESS CENTER, LLC
Location Address1980 N HIGHWAY 190Covington, LA 70433-5158
Mailing Address1980 N Highway 190Covington, LA 70433-5158 · (985) 809-6195 · Fax (985) 809-6199
Phone(985) 809-6195
Fax(985) 809-6199
Organization SubpartNo
Authorized OfficialTania Ann LeviOwner · (985) 809-6195
Enumeration DateOctober 16, 2006
Last NPPES UpdateAugust 16, 2010
✔ NPI 1073693958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in LA · 018251
1980 N HIGHWAY 190, Covington, LA 70433
Open in Google Maps ↗

Other Identifiers 3

Medicaid1378054LA
Medicare PIN5CV70LA
Medicare UPINB65395LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 19D1097436

Northlake Medicine & Wellness Center · Covington, LA
Active · expires Mar 25, 2027
CLIA Number19D1097436
Laboratory TypePhysician Office
Certificate Effective DateMarch 26, 2025
Certificate Expiration DateMarch 25, 2027
Laboratory DirectorTania A. Levi
Laboratory Phone(985) 809-6195
Laboratory LocationNorthlake Medicine & Wellness Center1980 N Hwy 190, Covington, LA 70433
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. BECKY BAIAMONTE APRN, FNP-C
Nurse Practitioner (Family)
1980 N HIGHWAY 190
COVINGTON, LA 70433
St. Tammany Parish (985) 809-6195
DR. TANIA A LEVI M.D.
Internal Medicine
1980 N HIGHWAY 190
COVINGTON, LA 70433
St. Tammany Parish (985) 809-6195

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northlake Medicine And Wellness Center, LLC's NPI number?

The NPI number for Northlake Medicine And Wellness Center, LLC is 1073693958. It was assigned to this organization in the NPPES registry on October 16, 2006.

Where is Northlake Medicine And Wellness Center, LLC located?

Northlake Medicine And Wellness Center, LLC is located at 1980 N Highway 190, Covington, LA 70433. The listed phone number is (985) 809-6195.

What is Northlake Medicine And Wellness Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Northlake Medicine And Wellness Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D1097436) is associated with this NPI, valid through March 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Northlake Medicine And Wellness Center, LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 1 other insurer list Northlake Medicine And Wellness Center, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Northlake Medicine And Wellness Center, LLC was last updated on August 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.