Individual provider Active NPI

Melissa Ann Raigan, D.C., L.M.T.

  • Chiropractor
  • Mandeville, LA
National Provider Identifier
1083910327
Registry record updated Feb 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1487 Issued in LA
Practice address
221 Saint Ann Dr Ste 2
Mandeville, LA 70471-3219
Phone
(985) 624-9888
NPI assigned
Feb 3, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1487 LA Primary

Addresses

Primary practice location

221 Saint Ann Dr Ste 2
Mandeville, LA 70471-3219

Mailing address

221 Saint Ann Dr Ste 2
Mandeville, LA 70471-3219
Phone (985) 624-9888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110509000820 LA Practitioner - Chiropractic 1153507199 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1210 Park Dr
Suite 100
Mandeville, LA 70471-3421
Phone (985) 302-7555

Hospital & facility affiliations

  • Avala Hospital, Covington, LA, CCN 190267

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Spa, LLC Chiropractor CurrentSince May 1, 2014 Accepting new patients
Bart Sellers,D.C., L.L.C. Chiropractor Past Accepting new patients
Natural Health Chiropractic Center, LLC Chiropractor Past Accepting new patients

Locations

1210 Park Dr
Ste 100
Mandeville, LA 70471
Phone (985) 302-7555

Networks

  • LA PPO C-SNP

Organizations & group practices 3

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1296691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296691200000",
    "number": "1083910327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 SAINT ANN DR STE 2",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713219",
            "telephone_number": "985-624-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 SAINT ANN DR STE 2",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713219",
            "telephone_number": "985-624-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAIGAN",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "D.C., L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-03",
        "last_updated": "2011-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.