Mica McDaniel, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

088334 Issued in LA

Practice address

119 Hospital Dr
Oakdale, LA 71463-3034

Phone

(318) 335-0260

Fax

(318) 335-3356

NPI assigned

Oct 23, 2006

Last updated

May 24, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mica McDaniel FNP-C, LLC

  • Family Nurse Practitioner
  • Deridder, LA
  • NPI 1033617071
  Authorized official Same address or phone

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1912080730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 276",
            "city": "ELIZABETH",
            "state": "LA",
            "postal_code": "706380276",
            "telephone_number": "318-308-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 HOSPITAL DR",
            "city": "OAKDALE",
            "state": "LA",
            "postal_code": "714633034",
            "telephone_number": "318-335-0260",
            "fax_number": "318-335-3356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "MICA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "088334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1722201",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Louisiana Physical Therapy Centers of Oakdale LLC
• Elizabeth Mancil
• Chemparathy V Manuel, M.D
• Penny L Manuel, OT
• Kaitlyn Maricle
• Celeste Tolar McKnight, F.N.P.
• William Joseph McMillan, PHARM D
• Menavry LLC (Newman Family Clinic)
• Gabrielle Nicole Merchant Langley, FNP-C
• Alexis Darnell Motley, MS, RD, LDN

• Family Nurse Practitioner in Oakdale, LA
• Providers in Oakdale, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.