Individual provider Active NPI

Amanda Lea Faith, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Haughton, LA
National Provider Identifier
1033925169
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
242302 Issued in LA
Practice address
701 Fox Nest Cir
Haughton, LA 71037-9396
Phone
(318) 455-1847
NPI assigned
Dec 4, 2024
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 242302 LA Primary

Addresses

Primary practice location

701 Fox Nest Cir
Haughton, LA 71037-9396

Mailing address

701 Fox Nest Cir
Haughton, LA 71037-9396
Phone (318) 455-1847

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
I20260220002853 LA Practitioner - Nurse Practitioner 6901387646 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2890 Douglas Dr
Bossier City, LA 71111-5806
Phone (318) 742-6900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
242302LAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Winn Community Health Center, Inc. CurrentSince Mar 1, 2026 Accepting new patients
Winn Community Health Center, Inc. CurrentSince Mar 1, 2026 Accepting new patients

Locations

2890 Douglas Dr
Bossier City, LA 71111
Phone (318) 294-8185

340 Webb Smith Dr
Colfax, LA 71417
Phone (318) 627-3700

1140 S Vienna St
Ruston, LA 71270
Phone (318) 224-7190

431 W Lafayette St
Winnfield, LA 71483
Phone (318) 209-4510

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1733270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1033925169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 FOX NEST CIR",
            "city": "HAUGHTON",
            "state": "LA",
            "postal_code": "710379396",
            "telephone_number": "318-455-1847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 FOX NEST CIR",
            "city": "HAUGHTON",
            "state": "LA",
            "postal_code": "710379396",
            "telephone_number": "318-455-1847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAITH",
        "first_name": "AMANDA",
        "middle_name": "LEA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-04",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "242302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haughton, LA

Sources for this page

Verify at the official NPI Registry.