Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kristyn Tallo, PA

Individual provider Dermatology Physician · NPI 1437044823

Kristyn Tallo, PA is a Physician Assistant in Hammond, Louisiana. Qualified in 2025, 1 year ago. Practices with Soine Medical Enterprises, LLC, a 9-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
1
Licensed in
LA
In the registry since
2025
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

42421 Pelican Professional Park
Hammond, LA 70403-2405
Phone: (985) 400-5551
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1441 Ochsner Blvd, Covington, LA 70433-8110 — (985) 400-5551

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 363A00000X (LA)

Record details

NPI number1437044823
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 9, 2025
Last updated in NPPESJune 9, 2025
Certification dateJune 9, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Soine Medical Enterprises, Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Hammond