Individual provider Active NPI

Mandie Ann Toland, FNP

  • Family Nurse Practitioner
  • Dickinson, TX
National Provider Identifier
1649554841
Registry record updated Apr 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
791550 Issued in TX
Practice address
646 FM 517 Rd W
Dickinson, TX 77539-3904
Phone
(281) 218-7200
Fax
(281) 218-7203
NPI assigned
Oct 6, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 791550 TX Primary

Addresses

Primary practice location

646 FM 517 Rd W
Dickinson, TX 77539-3904

Mailing address

108 Whiting St
Galveston, TX 77550-3136
Phone (832) 364-7702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20111207000870 TX Practitioner - Nurse Practitioner 2668647363 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group Gulf Coast PLLCGroup PAC ID 4688999022, 511 clinicians

Practice addresses (Care Compare)

646 FM 517 Rd W
Dickinson, TX 77539-3904
Phone (281) 218-7200

676 FM 517 Rd W
Dickinson, TX 77539-3904
Phone (713) 482-4535

7900 Fannin St
Suite 4000
Houston, TX 77054-2935
Phone (713) 512-7500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
791550TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spangler Medical Enterprises, PA Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mandie.toland.1@8042.direct.athenahealth.com

Organizations & group practices 3

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": "1317859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461110400000",
    "number": "1649554841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 WHITING ST",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775503136",
            "telephone_number": "832-364-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 FM 517 RD W",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775393904",
            "telephone_number": "281-218-7200",
            "fax_number": "281-218-7203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLAND",
        "first_name": "MANDIE",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-06",
        "last_updated": "2016-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "791550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickinson, TX

Sources for this page

Verify at the official NPI Registry.