Individual provider Active NPI

Mallarie Toms, NP

  • Family Nurse Practitioner
  • Ruston, LA
National Provider Identifier
1124594171
Registry record updated Oct 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP10037 Issued in LA
Practice address
1809 Northpointe LN Ste 102
Ruston, LA 71270-3852
Phone
(318) 255-3762
Fax
(318) 255-2866
NPI assigned
Oct 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP10037 LA Primary

Addresses

Primary practice location

1809 Northpointe LN Ste 102
Ruston, LA 71270-3852

Mailing address

1200 S Farmerville St
Ruston, LA 71270-5941
Phone (318) 255-3690

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20181112000563 LA Practitioner - Nurse Practitioner 3476807421 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Group of Louisiana Inc CurrentSince Dec 15, 2019 Accepting new patients
Applegate Health Services, Inc. CurrentSince May 10, 2025 Accepting new patients
Physician Group of Louisiana Inc CurrentSince Dec 15, 2019 Accepting new patients
Applegate Health Services, Inc CurrentSince May 10, 2025 Accepting new patients
Applegate Health Services, Inc. Past Accepting new patients
Applegate Health Services, Inc Past Accepting new patients
Applegate Health Services, Inc. Past Accepting new patients

Locations

1605 Benton Rd
Ste D
Bossier City, LA 71111
Phone (318) 716-3814

751 Bayou Pines East Dr
Ste P
Lake Charles, LA 70601
Phone (337) 513-4844

503 McMillan Rd
Fl 2
West Monroe, LA 71291
Phone (318) 329-3475

1900 N 7th St
West Monroe, LA 71291
Phone (318) 322-8535

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71614

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539734400000",
    "number": "1124594171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S FARMERVILLE ST",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712705941",
            "telephone_number": "318-255-3690",
            "fax_number": "318-251-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 NORTHPOINTE LN STE 102",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712703852",
            "telephone_number": "318-255-3762",
            "fax_number": "318-255-2866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMS",
        "first_name": "MALLARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-17",
        "last_updated": "2018-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP10037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruston, LA

Sources for this page

Verify at the official NPI Registry.