MANDY KATHERYN MCNAMARA P.A.-C
NPI 1326419789
Physician Assistant - Medical in Jonesboro, LA

Q: What is Mandy Mcnamara's NPI number?

The NPI number for Mandy Mcnamara is 1326419789. It was assigned to this individual provider in the NPPES registry on October 12, 2015.

Q: What is Mandy Mcnamara's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Mandy Mcnamara was last updated on June 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 12, 2015PECOS Enrolled

103 WATTS ST, JONESBORO, LA 71251(318) 259-1569(318) 259-8523 Get Directions Write a Review

NPPES record last updated: June 13, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mandy Katheryn Mcnamara P.a.-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MANDY KATHERYN MCNAMARA P.A.-C (NPI 1326419789) is an individual medical provider in Jonesboro, Louisiana, licensed in Louisiana (300023) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326419789

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMANDY KATHERYN MCNAMARACredential: P.A.-C

Location Address103 WATTS STJonesboro, LA 71251-2053

Mailing Address820 Jordan St, Ste 201Shreveport, LA 71101-4518 · (318) 259-1569 · Fax (318) 259-8523

Phone(318) 259-1569

Fax(318) 259-8523

Sole ProprietorNo

Enumeration DateOctober 12, 2015

Last NPPES UpdateJune 13, 2016

✔ NPI 1326419789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in LA · 300023

103 WATTS ST, Jonesboro, LA 71251

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Other Identifiers 1

Other300023LA · License #

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mandy Katheryn Mcnamara P.a.-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. DIRK TIMOTHY RAINWATER MD

General Practice