Individual provider Active NPI

Sieda Marie Mackey, LPN

  • Licensed Practical Nurse
  • Gonzales, LA
National Provider Identifier
1497592455
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
290500 Issued in LA
Practice address
38058 Highway 621 Ste B
Gonzales, LA 70737-6072
Phone
(225) 402-2091
NPI assigned
Jul 9, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 290500 LA Primary

Addresses

Primary practice location

38058 Highway 621 Ste B
Gonzales, LA 70737-6072

Mailing address

38058 Highway 621 Ste B
Gonzales, LA 70737-6072
Phone (225) 402-2091

Other names 1

  • Ms. Sieda Marie Mackey Professional name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
290500LAMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Enhance Health Care Services Behavioral Health, LLC CurrentSince Jul 21, 2024 Accepting new patients
Enhance Health Care Services Behavioral Health, LLC CurrentSince Jul 21, 2024 Accepting new patients

Locations

38058 Highway 621
#B
Gonzales, LA 70737
Phone (225) 402-2091

Organizations & group practices 2

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": "1720483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1497592455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38058 HIGHWAY 621 STE B",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707376072",
            "telephone_number": "225-402-2091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38058 HIGHWAY 621 STE B",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707376072",
            "telephone_number": "225-402-2091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKEY",
        "first_name": "SIEDA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "LA",
            "license": "290500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SIEDA",
            "last_name": "MACKEY",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "LPN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Gonzales, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.