MANDY KATHERYN MCNAMARA (NPI# 1326419789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326419789 |
| Entity Type | Individual |
| Full Name | MANDY KATHERYN MCNAMARA |
| Credential | P.A.-C |
| Practice Address |
103 Watts St Jonesboro LA 71251-2053 |
| Mailing Address |
820 Jordan St Ste 201 Shreveport LA 71101-4518 |
| Practice Telephone | 3182591569 |
| Practice Fax Number | 3182598523 |
| Mailing Telephone | 3182591569 |
| Mailing Fax Number | 3182598523 |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2016-06-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
300023 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | LICENSE # | 300023 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376904136 | Mandy L Mcnamara | Nurse Practitioner | 116 Defense Hwy, Suite 400, Annapolis, MD 21401-7027 | 2016-03-08 |
| Street Address |
103 WATTS ST |
| City | JONESBORO |
| State | LA |
| Zip Code | 71251-2053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043286230 | Dirk Timothy Rainwater | Emergency Medicine | 103 Watts St, Jonesboro, LA 71251-2053 | 2006-02-27 |
| 1417505413 | Elyse Mills | Nurse Practitioner | 103 Watts St, Jonesboro, LA 71251-2053 | 2019-09-03 |
| 1821641374 | Latosha Jackson Mollette | Nurse Practitioner | 103 Watts St, Jonesboro, LA 71251-2053 | 2019-07-23 |
| 1720528680 | Alison Creel | Nurse Practitioner | 103 Watts St, Jonesboro, LA 71251-2053 | 2017-02-27 |
| 1548629090 | Adam Lawson | Physician Assistant | 103 Watts St, Jonesboro, LA 71251-2053 | 2016-02-12 |
| 1083094007 | Louisiana Family Medicine Clinic, Inc. | Non-Pharmacy Dispensing Site | 103 Watts St, Jonesboro, LA 71251-2053 | 2015-06-04 |
| 1548538200 | Louisiana Family Medicine Clinic 1 | Clinic/Center | 103 Watts St, Jonesboro, LA 71251-2053 | 2011-12-09 |
| 1699058354 | Quality Care Center | Nurse Practitioner | 103 Watts St, Jonesboro, LA 71251-2053 | 2011-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962985432 | Jonathan Rogers | Non-emergency Medical Transport (VAN) | 131 Eden Circle, Jonesboro, LA 71251 | 2018-09-11 |
| 1891273546 | Charlotte Amos | Case Manager/Care Coordinator | 248 Collin Rd, Jonesboro, LA 71251 | 2018-08-04 |
| 1528429578 | Lisa Hammock | Counselor | 124 Hudson Ave, Jonesboro, LA 71251 | 2016-03-17 |
| 1851752661 | Monique Burks | Behavioral Analyst | 103 4th Street, Stepping Stones, Jonesboro, LA 71251 | 2016-03-08 |
| 1184080046 | Deon Jones | Counselor | 206 Hudson Ave, Jonesboro, LA 71251 | 2016-01-07 |
| 1942672894 | Timothy Stewart | Behavioral Analyst | 201 Forest Dr, Jonesboro, LA 71251 | 2015-10-29 |
| 1871964148 | Stacey Harrell | Social Worker | 305 Cobb Dr, Jonesboro, LA 71251 | 2015-10-13 |
| 1528398799 | Alesia Fortune | Behavioral Analyst | 103 4th St, Jonesboro, LA 71251 | 2010-01-11 |
| 1184848756 | Mayfield Chiropractic Jonesboro, LLC | Chiropractor | 520 S. Polk St., Jonesboro, LA 71251 | 2007-04-12 |
| 1093793408 | Jackson Parish Hospital | General Acute Care Hospital | 165 Beech Springs Rd, Jonesboro, LA 71251 | 2006-01-05 |
| Find all providers in zip 71251 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184250805 | Ashley Elizabeth Mclean | Physician Assistant | 225 E Washington Ave, Jonesboro, AR 72401-3111 | 2020-03-13 |
| 1063968022 | Rebecca Mcphail | Physician Assistant | 7823 Spivey Station Blvd, Jonesboro, GA 30236-2886 | 2016-08-30 |
| 1548629090 | Adam Lawson | Physician Assistant | 103 Watts St, Jonesboro, LA 71251-2053 | 2016-02-12 |
| 1366801870 | Kirk Porter | Physician Assistant | 1107 E Matthews Ave, Suite 200, Jonesboro, AR 72401-4315 | 2016-02-12 |
| 1598153157 | Drew Weldon Harper | Physician Assistant | 4802 E Johnson Ave, Jonesboro, AR 72401-8413 | 2015-01-06 |
| 1053650945 | Meredith Harrison Brewer | Physician Assistant | 800 S Church St Ste 203, Jonesboro, AR 72401 | 2013-02-12 |
| 1346587599 | Maranda Elizabeth Nichols | Physician Assistant | 4334 E Highland Dr, Ste A, Jonesboro, AR 72401-6621 | 2013-01-08 |
| 1194025536 | Linda Nguyen | Physician Assistant | 300 Carson St, Jonesboro, AR 72401-3104 | 2010-11-02 |
| 1043311376 | Jerome A Maislis | Physician Assistant | 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Comprehensive Medical Cente, Jonesboro, GA 30236 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174120307 | Olivia Hockenjos | Physician Assistant | 1000 Chinaberry Dr Ste 1200, Bossier City, LA 71111-2463 | 2020-10-01 |
| 1053928622 | Kennedy Poole | Physician Assistant | 1643 Carter St Ste 1, Vidalia, LA 71373-3157 | 2020-09-28 |
| 1699382176 | Morgan Prejean | Physician Assistant | 11445 Coursey Blvd Ste L, Baton Rouge, LA 70816-0411 | 2020-09-28 |
| 1972118776 | Emma W Bollich | Physician Assistant | 6703 Ambassador Caffery Pkwy Ste 2, Broussard, LA 70518-5283 | 2020-09-09 |
| 1316595937 | Antonia Colombo | Physician Assistant | 2705 Fable St, Meraux, LA 70075-2372 | 2019-08-27 |
| 1861058752 | Christina Daigle | Physician Assistant | 1057 Paul Maillard Rd Ste 2210, Luling, LA 70070-4349 | 2019-05-15 |
| 1376078022 | Brian Ammon | Physician Assistant | 11831 Oakwilde Ave, Baton Rouge, LA 70810-3120 | 2017-05-01 |
| 1912448036 | Christy Stoltz | Physician Assistant | 120 N Pinaud St, Saint Martinville, LA 70582-4732 | 2017-03-09 |
| 1790228013 | Brian Keith Fontenot | Physician Assistant | 2751 Albert L Bicknell Dr Ste 5c, Shreveport, LA 71103-3943 | 2016-11-18 |
| 1932658002 | Taylor Christensen Mahtook | Physician Assistant | 4650 Ambassador Caffery Pkwy Ste 101, Lafayette, LA 70508-6926 | 2016-09-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.