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NPI · 1720520752 · NPPES-sourced

Kellie Mandygo

ActiveCommunity Health Worker
NPI Number
1720520752
Type 1 · Individual
Taxonomy Code
172V00000X
Contact
(318) 219-4167
Primary practice line
Last Updated
About 6 years ago (Jul 2019)
Enumerated 2016-11-08
Primary practice addressLA · 71105-2149
3341 Youree DrShreveport, LA 71105-2149
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About this NPIWhat this record shows.

NPI 1720520752 is registered to Kellie Mandygo, a Community Health Worker practising at 3341 Youree Dr in Shreveport, Louisiana. Community Health Worker is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Kellie Mandygo has been enumerated in the National Provider Identifier (NPI) registry since 2016.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2016-11-08
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Kellie Mandygo accepts. To confirm in-network status with your specific health plan, contact Kellie Mandygo directly at (318) 219-4167.

Frequently asked

Yes. NPI 1720520752 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Community Health Worker is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (318) 219-4167.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Kellie Mandygo is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy172V00000X
Last updated2019-07
Enumerated2016-11-08
StatusActive
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