Organization Active NPI

Mandys Primary Healthcare LLC

  • Family Nurse Practitioner
  • Denham Springs, LA
National Provider Identifier
1306246293
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP04970 Issued in LA
Legal business name
MANDYS PRIMARY HEALTHCARE LLC
Practice address
35701 La Highway 16
Denham Springs, LA 70706-0548
Phone
(225) 791-2400
NPI assigned
Aug 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Authorized official

Name
Mandy R Erwin, DNPNPI 1760420244
Title
DNP
Phone
(225) 791-2400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X AP04970 LA Primary

Addresses

Primary practice location

35701 La Highway 16
Denham Springs, LA 70706-0548

Mailing address

35701 La Highway 16
Denham Springs, LA 70706-0548
Phone (225) 791-2400

Other identifiers 2

IdentifierTypeStateIssuer
MB2636530OtherLANPI INDIVIDUAL
1332178MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150305001959 LA Part B Supplier - Clinic/Group Practice 8426374612 Receives reassigned benefits from 1 practitioner
Practice locations: Denham Springs, LA

National Provider Directory

National Provider Directory

Locations

35055 LA Highway 16
Denham Springs, LA 70706

35055 LA Highway 16
Ste 2H
Denham Springs, LA 70706
Phone (225) 243-6974

35701 LA Highway 16
Denham Springs, LA 70706
Phone (225) 791-2400

29565 S Frost Rd
Ste C
Livingston, LA 70754
Phone (225) 686-1114

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1306246293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35701 LA HIGHWAY 16",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707060548",
            "telephone_number": "225-791-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35701 LA HIGHWAY 16",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707060548",
            "telephone_number": "225-791-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANDYS PRIMARY HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-27",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "ERWIN",
        "authorized_official_first_name": "MANDY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DNP",
        "authorized_official_telephone_number": "225-791-2400",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP04970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "MB2636530",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1332178",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denham Springs, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.