Active NPI
Amy J Roks, PA-C
- Physician Assistant
- Bossier City, LA
National Provider Identifier
1003391160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 2449 Hospital Dr Ste 210
Bossier City, LA 71111-1906 - Phone
- (318) 212-7280
- Fax
- (318) 212-7278
- NPI assigned
- Sep 25, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
2449 Hospital Dr Ste 210
Bossier City, LA 71111-1906
Mailing address
2449 Hospital Dr Ste 210
Bossier City, LA 71111-1906
Phone (318) 212-7280
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2485695 | Medicaid | LA |
Other names 1
- Amy J Ratley
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- aroks@direct.wkhs.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705536000000",
"number": "1003391160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2449 HOSPITAL DR STE 210",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711111906",
"telephone_number": "318-212-7280",
"fax_number": "318-212-7278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2449 HOSPITAL DR STE 210",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711111906",
"telephone_number": "318-212-7280",
"fax_number": "318-212-7278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROKS",
"first_name": "AMY",
"middle_name": "J",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-25",
"last_updated": "2024-01-18",
"certification_date": "2024-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2485695",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "RATLEY",
"middle_name": "J",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bossier City, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.