Headache Clinic of Cenla

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

HEADACHE CLINIC OF CENLA

Practice address

211 N 3Rd St Ste a
Alexandria, LA 71301-8568

Phone

(318) 625-7299

Fax

(318) 625-7169

NPI assigned

Jun 17, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Ashley Mason

Title

Office Manager

Phone

(318) 664-1817

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Headache Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 2

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

• Kimberly Avant Rao, FNP

  • Family Nurse Practitioner
  • Alexandria, LA
  • NPI 1811203318
  Medicare reassignment
• Vanda L Davidson, MD

  • Orthopaedic Surgery Physician
  • Alexandria, LA
  • NPI 1508858184
  NPD (past)

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624838400000",
    "number": "1447876289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 N 3RD ST STE A",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713018568",
            "telephone_number": "318-625-7299",
            "fax_number": "318-625-7169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N 3RD ST STE A",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713018568",
            "telephone_number": "318-625-7299",
            "fax_number": "318-625-7169"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5328 Cypress St",
            "address_purpose": "LOCATION",
            "city": "West Monroe",
            "state": "LA",
            "postal_code": "712917506",
            "country_code": "US",
            "telephone_number": "318-625-7299",
            "fax_number": "318-625-7169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEADACHE CLINIC OF CENLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-17",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "318-664-1817",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1811203318",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Headache Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Headache Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vincent D Hayes, MD
• Ron L Hays, MD
• Dorethea Haywood, MHP
• HC Social Services,LLC
• Stuart C Head, M.D.
• Healing Hands & Hearts Inc.
• Healing Place Pastoral Care Center
• Health Care Rentals Inc
• Heart 2 Heart Counseling & Consulting, LLC
• Heart Center of Central Louisiana, L.P.

• Family Nurse Practitioner in Alexandria, LA
• Providers in Alexandria, 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 Jun 28, 2021; 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.