CABUCK COMMUNITY CLINIC
NPI 1336935618
Nurse Practitioner - Primary Care in Rayville, LA

NPI Status: Active since April 15, 2025

Contact Information

13 CABUCK LN
RAYVILLE, LA
ZIP 71269
Phone: (318) 303-4019
Fax: (318) 303-4184

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  • Organization
  • Nurse Practitioner
  • Primary Care
  • CLIA Number: 19D2333705
  • CLIA Cert. Type: Rural Health Clinic
  • CLIA Exp. Date: 11-09-2027

About CABUCK COMMUNITY CLINIC

This page provides the complete NPI Profile along with additional information for Cabuck Community Clinic, a provider established in Rayville, Louisiana operating as a Nurse Practitioner, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1336935618 assigned on April 2025. The practitioner's primary taxonomy code is 363LP2300X. The provider is registered as an organization and their NPI record was last updated February 2026. The authorized official of this NPI record is Mrs. Kimberly Andrews Rn (Administrator)

NPI
1336935618
Provider Name
CABUCK COMMUNITY CLINIC
Entity Type
Organization
Location Address
13 CABUCK LN RAYVILLE, LA 71269
Location Phone
(318) 303-4019
Location Fax
(318) 303-4184
Mailing Address
13 CABUCK LN RAYVILLE, LA 71269
Mailing Phone
(318) 303-4019
Mailing Fax
(318) 303-4184
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-15-2025
Last Update Date
02-17-2026
Code Navigator

A nurse practitioner (NP) like Cabuck Community Clinic is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Primary Care

Taxonomy Code
363LP2300X
Type
Physician Assistants & Advanced Practice Nursing Providers

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QP2300XAmbulatory Health Care Facilities

Clinic/Center
Primary Care

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. KIMBERLY ANDREWS RN

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(318) 303-4019

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
19D2333705
Facility Type
Rural Health Clinic
Certificate Effective Date
November 10, 2025
Certificate Expiration Date
November 09, 2027
Laboratory Director
VONDA TURNER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Cabuck Community Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1336935618, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
3
Doubled → 6
Pos 4
6
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
3
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
6
Unchanged
Pos 9
1
Doubled → 2
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 9 → 18 → 9 5 → 10 → 1 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 6 + 6 + 1 + 8 + 3 + 1 + 0 + 6 + 2 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1336935618.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Nurse Practitioner
13 CABUCK LN
RAYVILLE, LA 71269

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336935618, enumerated as an "organization" on April 15, 2025.

The provider is located at 13 CABUCK LN RAYVILLE, LA 71269 and the phone number is (318) 303-4019.

Nurse Practitioner with taxonomy code 363LP2300X and a focus in Primary Care.