Magnolia Pediatrics

Primary specialty

SpecialistTaxonomy code 174400000X

License

045939 Issued in LA

Legal business name

MAGNOLIA PEDIATRICS

Practice address

17038 Commerce Centre Dr
Prairieville, LA 70769-3483

Phone

(225) 744-4484

Fax

(225) 677-9359

NPI assigned

Dec 4, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Lisa Hamner

Title

Office Manager

Phone

(225) 744-4484

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21762/brand/1/csg/1/fhir/r4

Practitioners 3

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

• Abby Schexnayder Andrews, MSN- APRN

  • Pediatric Nurse Practitioner
  • Prairieville, LA
  • NPI 1245628650
  NPD (past)
• Meghan Vial Louque, MD

  • Pediatrics Physician
  • Prairieville, LA
  • NPI 1467846667
  NPD (past)
• Andrea McDonald Ocmond, M.D.

  • Pediatrics Physician
  • Prairieville, LA
  • NPI 1790954451
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541462400000",
    "number": "1477611556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17038 COMMERCE CENTRE DR",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707693483",
            "telephone_number": "225-744-4484",
            "fax_number": "225-677-9359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17038 COMMERCE CENTRE DR",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707693483",
            "telephone_number": "225-744-4484",
            "fax_number": "225-677-9359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2018-11-06",
        "status": "A",
        "authorized_official_last_name": "HAMNER",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "225-744-4484",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "LA",
            "license": "045939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• M&M Medical Transportation
• Sydney Paige Machen, PT,DPT
• Brooke Madere, MSN, APRN, FNP-C
• Andrew Magers, PSYD
• Magnolia Chiropractic Center, LLC
• Ashley N Mallett
• Mason Randall Mann, DDS
• Nathan Michael Maranto, LCSW
• Shelby Maranto, MA, L-SLP, CCC-SLP
• Sheila Margiotta

• Specialist in Prairieville, LA
• Providers in Prairieville, LA by specialty
• Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.