Clodiale Mbounguen Nanda

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

HHA11964 Issued in MD

Practice address

5006 Boonsboro Rd
Lynchburg, VA 24503-1802

Phone

(434) 386-6412

NPI assigned

Mar 30, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Walgreen Co

  dba Walgreens #10691

  • Pharmacy
  • Lynchburg, VA
  • NPI 1811187727
  NPD
• Walgreen Co

  dba Walgreens #21605

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1821451790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5006 BOONSBORO RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245031802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5006 BOONSBORO RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245031802",
            "telephone_number": "434-386-6412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBOUNGUEN NANDA",
        "first_name": "CLODIALE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-30",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "MD",
            "license": "HHA11964",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202223221",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Ann Mays
• Krystal Mays, RN, LPC
• Leann C Mays, LPN
• Wanda Dantzler Mayse, LPC
• Sally-Kella N Mbah
• Mary Sinclair McAllister
• Brian Patrick McAndrew, D.M.D., M.D.
• Julia M McAuley-Gonzalez, DNP, FNP-BC
• McAvoy & Binder LLC (Forest Dental Center)
• Brian John McAvoy, DDS

• Home Health Aide in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Home Health Aide in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; 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.