1. Home
  2. Directory
  3. Louisiana
  4. Prairieville
  5. Specialist
  6. NPI Profile

MAGNOLIA PEDIATRICS
NPI 1477611556
Specialist in Prairieville, LA

Active since December 04, 2006CLIA 19D1037741 · Waiver
17038 COMMERCE CENTRE DR, PRAIRIEVILLE, LA 70769(225) 744-4484(225) 677-9359 Get Directions Write a Review

NPPES record last updated: November 6, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Magnolia Pediatrics NPPES

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

MAGNOLIA PEDIATRICS (NPI 1477611556) is a healthcare organization registered as a specialist in Prairieville, Louisiana and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through March 2, 2027 and lists Lisa Hamner, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1477611556
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMAGNOLIA PEDIATRICS
Location Address17038 COMMERCE CENTRE DRPrairieville, LA 70769-3483
Mailing Address17038 Commerce Centre DrPrairieville, LA 70769-3483 · (225) 744-4484 · Fax (225) 677-9359
Phone(225) 744-4484
Fax(225) 677-9359
Organization SubpartNo
Authorized OfficialLisa HamnerOffice Manager · (225) 744-4484
Enumeration DateDecember 4, 2006
Last NPPES UpdateNovember 6, 2018
✔ NPI 1477611556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in LA · 045939
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
17038 COMMERCE CENTRE DR, Prairieville, LA 70769
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 19D1037741

Magnolia Pediatrics · Prairieville, LA
Active · expires Mar 2, 2027
CLIA Number19D1037741
Laboratory TypePhysician Office
Certificate Effective DateMarch 3, 2025
Certificate Expiration DateMarch 2, 2027
Laboratory DirectorSamatha K. Gulino
Laboratory Phone(225) 744-4484
Laboratory LocationMagnolia Pediatrics17038 Commerce Centre Drive, Prairieville, LA 70769
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

DR. SAMANTHA GULINO M.D.
Specialist
17038 COMMERCE CENTRE DR
PRAIRIEVILLE, LA 70769
Ascension Parish (225) 744-4484
MRS. ABBY SCHEXNAYDER ANDREWS MSN- APRN
Nurse Practitioner (Pediatrics)
17038 COMMERCE CENTRE DR
PRAIRIEVILLE, LA 70769
Ascension Parish (225) 744-4484
MEGHAN VIAL LOUQUE MD
Pediatrics
17038 COMMERCE CENTRE DR
PRAIRIEVILLE, LA 70769
Ascension Parish (225) 744-4484
ANDREA MCDONALD OCMOND M.D.
Pediatrics
17038 COMMERCE CENTRE DR
PRAIRIEVILLE, LA 70769
Ascension Parish (225) 744-4484
DR. ASHLI WEST M.D.
Specialist
17038 COMMERCE CENTRE DR
PRAIRIEVILLE, LA 70769
Ascension Parish (225) 744-4484

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Magnolia Pediatrics's NPI number?

The NPI number for Magnolia Pediatrics is 1477611556. It was assigned to this organization in the NPPES registry on December 4, 2006.

Where is Magnolia Pediatrics located?

Magnolia Pediatrics is located at 17038 Commerce Centre Dr, Prairieville, LA 70769. The listed phone number is (225) 744-4484.

What is Magnolia Pediatrics's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Magnolia Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D1037741) is associated with this NPI, valid through March 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Magnolia Pediatrics accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 1 other insurer list Magnolia Pediatrics as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Magnolia Pediatrics was last updated on November 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.