Individual provider Active NPI

Andrea McDonald Ocmond, M.D.

  • Pediatrics Physician
  • Prairieville, LA
National Provider Identifier
1790954451
Registry record updated Oct 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD.202266 Issued in LA
Practice address
17038 Commerce Centre Dr
Prairieville, LA 70769-3483
Phone
(225) 744-4484
Fax
(225) 677-9359
NPI assigned
Feb 27, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD.202266 LA Primary

Addresses

Primary practice location

17038 Commerce Centre Dr
Prairieville, LA 70769-3483

Mailing address

17038 Commerce Centre Dr
Prairieville, LA 70769-3483
Phone (225) 744-4484

Other identifiers 1

IdentifierTypeStateIssuer
1055948MedicaidLA

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.202266LAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Magnolia Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: andrea.ocmond.1@21762.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/21762/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1204070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540771200000",
    "number": "1790954451",
    "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": {
        "last_name": "OCMOND",
        "first_name": "ANDREA",
        "middle_name": "MCDONALD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-27",
        "last_updated": "2018-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "MD.202266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1055948",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prairieville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; 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.