NPIMap

Organization Active NPI

Shahid Mansoor, MD. a Professional Medical Corporation

Doing business as Healthy Steps Pediatrics

  • Rural Health Clinic/Center
  • Pineville, LA
National Provider Identifier
1689847956
Registry record updated Jan 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
SHAHID MANSOOR, MD. A PROFESSIONAL MEDICAL CORPORATION
Doing business as
Healthy Steps Pediatrics
Practice address
192 Stilley Rd
Pineville, LA 71360-5933
Phone
(318) 484-3401
Fax
(318) 484-3402
NPI assigned
Apr 8, 2008
Organization subpart
Yes
Parent organization
SHAHID MANSOOR, M.D. (A PROFESSIONAL MEDICAL CORPORATION)As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 13, 2017

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

Authorized official

Name
Mrs. Krista Rachal
Title
Administrator
Phone
(318) 484-3899

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X
Rural Health Clinic/Center 261QR1300X Primary
Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

192 Stilley Rd
Pineville, LA 71360-5933

Mailing address

192 Stilley Rd
Pineville, LA 71360-5933
Phone (318) 484-3401

Other names 1

  • Healthy Steps Pediatrics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Shahid Mansoor MD a Profe3 organizations share this tax ID, including this one
Part of
Shahid Mansoor MD a Profe

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484265600000",
    "number": "1689847956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 STILLEY RD",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713605933",
            "telephone_number": "318-484-3401",
            "fax_number": "318-484-3402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 STILLEY RD",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713605933",
            "telephone_number": "318-484-3401",
            "fax_number": "318-484-3402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAHID MANSOOR, MD. A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHAHID MANSOOR, M.D. (A PROFESSIONAL MEDICAL CORPORATION)",
        "enumeration_date": "2008-04-08",
        "last_updated": "2017-01-13",
        "status": "A",
        "authorized_official_last_name": "RACHAL",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "318-484-3899",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthy Steps Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pineville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2017; 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.