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

Individual provider Medical Physician Assistant · NPI 1134118466

Miss. Tara Lynn Rheubottom, PA is a Physician Assistant in Baton Rouge, Louisiana. Qualified in 2000, 26 years ago. Practices with Louisiana Dermatology Associates, LLC, a 10-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
26
Licensed in
LA
In the registry since
2005
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

10154 Jefferson Hwy
Baton Rouge, LA 70809-2725
Phone: (225) 927-5663
Fax: (225) 928-7341
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA.A10517 (LA)

Record details

NPI number1134118466
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 19, 2005
Last updated in NPPESMarch 31, 2009

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Louisiana Dermatology Associates, Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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