Healthcare Provider Details

I. General information

NPI: 1437084365
Provider Name (Legal Business Name): ASSUMPTA CHUGHE MEIKALIKE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/13/2026
Last Update Date: 06/13/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 JUDGE TANNER BLVD
COVINGTON LA
70433-7500
US

IV. Provider business mailing address

2021 SULLIVAN LN APT 407
COVINGTON LA
70433-7618
US

V. Phone/Fax

Practice location:
  • Phone: 985-867-3800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number201419
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number201419
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: