PENNY CUMMINS MONTCALM (NPI# 1376877241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376877241 |
| Entity Type | Individual |
| Full Name | PENNY CUMMINS MONTCALM |
| Credential | NP |
| Practice Address |
261 Highway 132 Mangham LA 71259-5269 |
| Mailing Address |
130 Desiard St Ste 355 Monroe LA 71201-7363 |
| Practice Telephone | 3182482807 |
| Practice Fax Number | 3182482967 |
| Mailing Telephone | 3188077875 |
| Mailing Fax Number | 3188126603 |
| Enumeration Date | 2009-09-25 |
| Last Update Date | 2019-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RNO077152 APO487 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2458132 | 05 |
| Street Address |
261 HIGHWAY 132 |
| City | MANGHAM |
| State | LA |
| Zip Code | 71259-5269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841236437 | Benjamin W Hayden | Nurse Practitioner | 261 Highway 132, Mangham, LA 71259-5269 | 2006-06-21 |
| 1275193773 | Monroe Surgical Hospital, LLC | Family Medicine | 261 Highway 132, Mangham, LA 71259-5269 | 2019-06-17 |
| 1871153379 | Monroe Surgical Hospital, LLC | Clinic/Center | 261 Highway 132, Mangham, LA 71259-5269 | 2019-06-17 |
| 1942702832 | Jyssica Sullivan | Nurse Practitioner | 261 Highway 132, Mangham, LA 71259-5269 | 2018-03-06 |
| 1144575663 | Ashley N Hale | Nurse Practitioner | 261 Highway 132, Mangham, LA 71259-5269 | 2012-07-20 |
| 1790923225 | Christopher Blake Leblanc | Social Worker | 261 Highway 132, Mangham, LA 71259-5269 | 2009-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366610719 | Mangham Home Care | Home Health | 714 Broadway Street, Mangham, LA 71259 | 2008-02-19 |
| 1386754620 | Jennifer Newton Boles | Dentist | 4279 Hwy 15, Mangham, LA 71259 | 2006-08-30 |
| 1720006679 | Mangham Home Care Inc | Home Health | 714 Broadway, Mangham, LA 71259 | 2006-07-18 |
| 1700841079 | Mangham Rx Drugs, Inc | Pharmacy | 104 Louisiana St, Mangham, LA 71259 | 2006-04-19 |
| 1972767291 | Mangham Home Care, Inc. | Home Health | 714 Broadway Street, Mangham, LA 71259 | 2008-07-16 |
| 1538235429 | Mangham Home Care, Inc | Home Health | 714 Broadway, Mangham, LA 71259 | 2006-11-24 |
| 1902850035 | Affinity Health Group, LLC | Family Medicine | 261 Hwy 132, Mangham, LA 71259-0219 | 2006-05-22 |
| 1578665477 | Community Care Services, Inc. | Technician | 508 Horace St, Mangham, LA 71259-5056 | 2006-09-01 |
| 1154450641 | Community Care Services, Inc | Technician | 508 Horace St, Mangham, LA 71259-5056 | 2007-03-02 |
| 1043347206 | Community Care Services, Inc | Technician | 508 Horace St, Mangham, LA 71259-5056 | 2007-02-27 |
| Find all providers in zip 71259 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841236437 | Benjamin W Hayden | Nurse Practitioner | 261 Highway 132, Mangham, LA 71259-5269 | 2006-06-21 |
| 1942702832 | Jyssica Sullivan | Nurse Practitioner | 261 Highway 132, Mangham, LA 71259-5269 | 2018-03-06 |
| 1558649905 | Terri Lynn Klick | Nurse Practitioner | 107 Lela St, Mangham, LA 71259-5063 | 2011-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972347 | Alicia Mitchell | Nurse Practitioner | 1504 Sunset Dr, Monroe, LA 71202-3612 | 2020-11-08 |
| 1902407190 | Amy Schulin Long | Nurse Practitioner | 2800 Veterans Memorial Blvd Ste 102, Metairie, LA 70002-6172 | 2020-11-04 |
| 1053911339 | Walter Matheny II | Nurse Practitioner | 216 W Union Street Ste A Minden, Minden, LA 71055 | 2020-10-27 |
| 1568061950 | Kecia Clark | Nurse Practitioner | 3009 Englewood Dr, Jennings, LA 70546-3266 | 2020-10-19 |
| 1225636012 | Jennifer Castro Ledet | Nurse Practitioner | 689 English Oak Dr, Madisonville, LA 70447-3179 | 2020-10-14 |
| 1730786377 | Catherine Newman | Nurse Practitioner | 27124 La-42, Springfield, LA 70462 | 2020-10-07 |
| 1447857636 | Ashley Norsworthy | Nurse Practitioner | 2600 Tower Dr Ste 216, Monroe, LA 71201-5783 | 2020-10-01 |
| 1629684923 | On -demand Healthcare of Louisiana LLC | Nurse Practitioner | 12109 Hampton Village Ave, Baton Rouge, LA 70818-5741 | 2020-09-22 |
| 1528674280 | Acadiana Wound & Ostomy On Wheels | Nurse Practitioner | 218 Division Street, Krotz Springs, LA 70750 | 2020-09-18 |
| 1841806775 | Shelia M Reliford | Nurse Practitioner | 3928 Balcom St, Shreveport, LA 71109-5004 | 2020-09-16 |
| 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.