Vidya K Mandhare, RN MSN FNPC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP020536 Issued in LA

Practice address

2222 Simon Bolivar Ave
FL 2
New Orleans, LA 70113-1460

Phone

(504) 658-2785

Fax

(504) 658-2784

NPI assigned

Jul 5, 2006

Last updated

Feb 17, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

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.

• City of New Orleans

  dba Health Care for the Homeless Program

  • Public Health or Welfare Agency
  • New Orleans, LA
  • NPI 1043427693
  Medicare reassignment NPD
• City of New Orleans

  dba Healthcare for the Homeless Ozman

  • Federally Qualified Health Center (FQHC)
  • New Orleans, LA
  • NPI 1265101281
  NPD

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487289600000",
    "number": "1407887094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 SIMON BOLIVAR AVE",
            "address_2": "FL 2",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701131460",
            "telephone_number": "504-363-4711",
            "fax_number": "504-363-4741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 SIMON BOLIVAR AVE",
            "address_2": "FL 2",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701131460",
            "telephone_number": "504-658-2785",
            "fax_number": "504-658-2784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDHARE",
        "first_name": "VIDYA",
        "middle_name": "K",
        "credential": "RN MSN FNPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2017-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP020536",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "RN087376",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1782661",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olivia Rose Mancing, LMSW
• Donna M Mancuso, MD
• Kenneth Francis Mancuso, MD
• Rebecca Lynn Mandal-Blasio, PH.D.
• Jamie Maria Manders, DDS
• Miljana Mandich, M.D.
• Rania Mando
• Wanda Maneau
• Alana Manego
• Tedrick Mangassarian, D.O.

• Family Nurse Practitioner in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.