Olivia McDonald

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

211469 Issued in LA

Practice address

706 W 15TH Ave Ste a
Covington, LA 70433-2416

Phone

(985) 338-2596

Fax

(985) 893-3737

NPI assigned

Jan 31, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Interoperability endpoints

• Direct secure messaging: olivia.mcdonald.1@21711.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Om Medical LLC

  dba IMC of Covington

  • Clinic/Center
  • Covington, LA
  • NPI 1316652837
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1580428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1023649746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 W 15TH AVE STE A",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704332416",
            "telephone_number": "985-338-2596",
            "fax_number": "985-893-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 W 15TH AVE STE A",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704332416",
            "telephone_number": "985-338-2596",
            "fax_number": "985-893-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "OLIVIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-31",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "211469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher McDaniel
• McCall G McDaniel
• Sunny R McDaniel, FNP-C
• Anthony E McDavid, MD
• Kainon McDonald
• Karlie Rae McDougall, P.T., DPT
• Ashley McGary
• Kelly Elizabeth McGee, LMT
• Precious Montey McGregor-Wiltz, D.M.D.
• Elise McIver

• Family Nurse Practitioner in Covington, LA
• Providers in Covington, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.