Individual provider Active NPI

Amber Lewis, FNP

  • Nurse Practitioner
  • Luling, LA
National Provider Identifier
1033506027
Registry record updated Jun 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP08185 Issued in LA
Practice address
1057 Paul Maillard Rd
Ste. D-1900
Luling, LA 70070-4349
Phone
(985) 308-1604
Fax
(985) 308-1605
NPI assigned
Apr 17, 2015
Last updated
Jun 9, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP08185 LA Primary

Addresses

Primary practice location

1057 Paul Maillard Rd
Ste. D-1900
Luling, LA 70070-4349

Mailing address

PO Box 4176
Houma, LA 70361-4176
Phone (985) 872-5864

Other identifiers 1

IdentifierTypeStateIssuer
2389009MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150603000225 LA Practitioner - Nurse Practitioner 9830410851 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiovascular Institute of the South, LLCGroup PAC ID 3779497441, 145 clinicians

Practice addresses (Care Compare)

107 Maryland Dr
Luling, LA 70070-2163
Phone (985) 308-1604

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP08185LAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Care Associates LLC CurrentSince May 3, 2024 Accepting new patients
University Hospital & Clinics, Inc. CurrentSince Jun 22, 2025 Accepting new patients
University Hospital & Clinics Inc CurrentSince Jun 22, 2025 Accepting new patients

Locations

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

3941 Houma Blvd
Ste 1A
Metairie, LA 70006
Phone (504) 457-2200

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433808000000",
    "number": "1033506027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4176",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703614176",
            "telephone_number": "985-872-5864",
            "fax_number": "985-872-0317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 PAUL MAILLARD RD",
            "address_2": "STE. D-1900",
            "city": "LULING",
            "state": "LA",
            "postal_code": "700704349",
            "telephone_number": "985-308-1604",
            "fax_number": "985-308-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "AMBER",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-17",
        "last_updated": "2015-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP08185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2389009",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Luling, LA

Sources for this page

Verify at the official NPI Registry.