Individual provider Active NPI

Aleshia Dement McGlothlin, NP

  • Family Nurse Practitioner
  • Alexandria, LA
National Provider Identifier
1194105478
Registry record updated Jul 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP08288 Issued in LA
Practice address
1403 Metro Dr BLDG Ste G-2
Alexandria, LA 71301-3454
Phone
(318) 787-9038
Fax
(318) 266-7974
NPI assigned
Jun 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP08288 LA
Family Nurse Practitioner 363LF0000X AP08288 LA Primary

Addresses

Primary practice location

1403 Metro Dr BLDG Ste G-2
Alexandria, LA 71301-3454

Mailing address

1403 Metro Dr BLDG Ste G-2
Alexandria, LA 71301-3454
Phone (318) 787-9038

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
I20150813010160 LA Practitioner - Nurse Practitioner 3870808330 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

5411 Coliseum Blvd
Alexandria, LA 71303-3729
Phone (318) 484-6850

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP08288LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Service District No 1 Parish of Avoyelles State of Louisiana Current Accepting new patients
Central la Human Services District CurrentSince May 5, 2021 Accepting new patients
Hospital Service District No 1 Parish of Avoyelles State of Louisiana CurrentSince Jul 11, 2016 Accepting new patients
Central la Human Services District Current Accepting new patients
Hospital Service District No1 Parish of Avoyelles State of Louisiana Current Accepting new patients
Hospital Service District No 1 Parish of Avoyelles State of la. CurrentSince Jul 11, 2016 Accepting new patients
Central Louisiana Counseling Services CurrentSince Nov 17, 2019 Accepting new patients
Rapides Regional Physician Group Specialty Care, LLC PastSince Oct 12, 2019 Accepting new patients

Locations

5411 Coliseum Blvd
Alexandria, LA 71303
Phone (318) 484-6850

1403 Metro Dr
Ste G2
Alexandria, LA 71301
Phone (318) 230-4476

427 Evergreen St
Bunkie, LA 71322
Phone (318) 346-6681

2801 Fourth St
Ste 5
Jonesville, LA 71343
Phone (318) 339-8553

105 Belview Rd
Leesville, LA 71446
Phone (337) 238-6431

694 Government St
Marksville, LA 71351
Phone (318) 253-9638

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1194105478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 METRO DR BLDG STE G-2",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013454",
            "telephone_number": "318-787-9038",
            "fax_number": "318-266-7974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 METRO DR BLDG STE G-2",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013454",
            "telephone_number": "318-787-9038",
            "fax_number": "318-266-7974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGLOTHLIN",
        "first_name": "ALESHIA",
        "middle_name": "DEMENT",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-02",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "AP08288",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP08288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.