1. Home
  2. Directory
  3. Louisiana
  4. Saint Gabriel
  5. Nurse Practitioner
  6. NPI Profile

TRACIE ROUSSEL O'BANNON
NPI 1700743101
Nurse Practitioner - Family in Saint Gabriel, LA

Active since January 07, 2026
735 HIGHWAY 30 STE D, SAINT GABRIEL, LA 70776(225) 314-9314 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 7, 2026, Jan 7, 2026 (2 updates tracked since 2026).

About Tracie Roussel O'bannon NPPES

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

TRACIE ROUSSEL O'BANNON (NPI 1700743101) is an individual family provider in Saint Gabriel, Louisiana, licensed in Louisiana (245084) and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1700743101
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTRACIE ROUSSEL O'BANNON
Location Address735 HIGHWAY 30 STE DSaint Gabriel, LA 70776-5015
Mailing Address39041 Balmoral DrPrairieville, LA 70769-4854
Phone(225) 314-9314
Sole ProprietorNo
Enumeration DateJanuary 7, 2026
Last NPPES UpdateApril 7, 20262 updates tracked since enumeration
NPPES CertifiedApril 7, 2026
✔ NPI 1700743101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in LA · 245084
735 HIGHWAY 30 STE D, Saint Gabriel, LA 70776
Open in Google Maps ↗

Other Providers at the Same Location NPPES

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

HEAL ALL WOUND CARE LLC
Family Medicine (Adult Medicine)
735 HIGHWAY 30 STE D
SAINT GABRIEL, LA 70776
Iberville Parish (225) 314-9314

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 Tracie O'bannon's NPI number?

The NPI number for Tracie O'bannon is 1700743101. It was assigned to this individual provider in the NPPES registry on January 7, 2026.

Where is Tracie O'bannon located?

Tracie O'bannon practices at 735 Highway 30 Ste D, Saint Gabriel, LA 70776. The listed phone number is (225) 314-9314.

What is Tracie O'bannon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Tracie O'bannon was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.