Active NPI
Mandie Cloud, PNP
- Pediatrics Physician
- Pineville, LA
National Provider Identifier
1376835694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- AP06446
- Practice address
- 5416 Highway 28 E
Pineville, LA 71360 - Phone
- (318) 545-7334
- Fax
- (318) 704-6140
- NPI assigned
- May 4, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 06446 | LA | |
| Pediatric Nurse Practitioner | 363LP0200X | AP06446 | LA | |
| Pediatrics Physician | 208000000X | AP06446 | LA | Primary |
Addresses
Primary practice location
5416 Highway 28 E
Pineville, LA 71360
Mailing address
5416 Highway 28 E
Pineville, LA 71360-4756
Phone (318) 545-7334
Other practice location 1
201 4th St
Suite 5B
Alexandria, LA 71301-8421
Phone (318) 769-3501
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP06446 | LA | MD | Pediatrics Physician |
| 06446 | LA | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cloud Pediatrics | Pediatrics | Current | Accepting new patients |
Locations
5416 Highway 28 E
Pineville, LA 71360
Phone (318) 216-1010
Organizations & group practices 1
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": "1304467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571011200000",
"number": "1376835694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5416 HIGHWAY 28 E",
"city": "PINEVILLE",
"state": "LA",
"postal_code": "713604756",
"telephone_number": "318-545-7334",
"fax_number": "318-704-6140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5416 HIGHWAY 28 E",
"city": "PINEVILLE",
"state": "LA",
"postal_code": "71360",
"telephone_number": "318-545-7334",
"fax_number": "318-704-6140"
}
],
"practiceLocations": [
{
"address_1": "201 4th St",
"address_2": "Suite 5B",
"address_purpose": "LOCATION",
"city": "Alexandria",
"state": "LA",
"postal_code": "713018421",
"country_code": "US",
"telephone_number": "318-769-3501",
"fax_number": "318-769-3502",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLOUD",
"first_name": "MANDIE",
"credential": "PNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-04",
"last_updated": "2019-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "LA",
"license": "06446",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "LA",
"license": "AP06446",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "LA",
"license": "AP06446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pineville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.