KELLIE MANDYGO
NPI 1720520752
Community Health Worker in Shreveport, LA

Active since November 08, 2016
3341 YOUREE DR, SHREVEPORT, LA 71105(318) 219-4167(318) 219-4834 Get Directions Write a Review

NPPES record last updated: July 24, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 24, 2019, Nov 8, 2016 (2 updates tracked since 2016).

About Kellie Mandygo NPPES

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

KELLIE MANDYGO (NPI 1720520752) is an individual community health worker in Shreveport, Louisiana and active in the NPI registry since November 2016.

NPPES Registry Identity

NPI1720520752
Entity TypeIndividualFemale
Primary Taxonomy172V00000X
Provider Legal NameKELLIE MANDYGO
Location Address3341 YOUREE DRShreveport, LA 71105-2149
Mailing Address3341 Youree DrShreveport, LA 71105-2149
Fax(318) 219-4834
Sole ProprietorNo
Enumeration DateNovember 8, 2016
Last NPPES UpdateJuly 24, 20192 updates tracked since enumeration
NPI 1720520752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCommunity Health WorkerOther Service Providers
Taxonomy Code172V00000X
Definition
Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
3341 YOUREE DR, Shreveport, LA 71105

Other Providers at the Same Location NPPES 20

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

Case Manager/Care Coordinator
3341 YOUREE DR
SHREVEPORT, LA 71105
Case Manager/Care Coordinator
3341 YOUREE DR
SHREVEPORT, LA 71105
Case Manager/Care Coordinator
3341 YOUREE DR
SHREVEPORT, LA 71105
Counselor
3341 YOUREE DR
SHREVEPORT, LA 71105
Clinic/Center (Mental Health (Including Community Mental Health Center))
3341 YOUREE DR, SUITE 102
SHREVEPORT, LA 71105
Counselor (Mental Health)
3341 YOUREE DR
SHREVEPORT, LA 71105
Behavior Analyst
3341 YOUREE DR
SHREVEPORT, LA 71105
Counselor (Mental Health)
3341 YOUREE DR, 101
SHREVEPORT, LA 71105

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 Kellie Mandygo's NPI number?

The NPI number for Kellie Mandygo is 1720520752. It was assigned to this individual provider in the NPPES registry on November 8, 2016.

Where is Kellie Mandygo located?

Kellie Mandygo practices at 3341 Youree Dr, Shreveport, LA 71105. The listed phone number is (318) 219-4167.

What is Kellie Mandygo's specialty?

The primary specialty registered for this NPI is Community Health Worker with taxonomy code 172V00000X.

When was this NPI record last updated?

The NPPES record for Kellie Mandygo was last updated on July 24, 2019. 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.