Individual provider Active NPI

Allen Ryan Seal, FNP-C

  • Family Nurse Practitioner
  • Amite, LA
National Provider Identifier
1083072623
Registry record updated May 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP08682 Issued in LA
Practice address
301 Walnut St
Amite, LA 70422-2025
Phone
(985) 748-9485
NPI assigned
Feb 9, 2016
Last updated
May 9, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP08682 LA Primary

Addresses

Primary practice location

301 Walnut St
Amite, LA 70422-2025

Mailing address

301 Walnut St
Amite, LA 70422-2025
Phone (985) 748-9485

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
I20160420000844 LA Practitioner - Nurse Practitioner 0446558720 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Internal Medicine Clinic of Tangipahoa, LLCGroup PAC ID 9234034778, 23 clinicians

Practice addresses (Care Compare)

409 NW Central Ave
Amite, LA 70422-2428
Phone (985) 748-7171

42388 Pelican Professional Park
Hammond, LA 70403-2412
Phone (985) 542-6251

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Service District 2 of the Parish of Tangipahoa State of la. CurrentSince Mar 5, 2016 Accepting new patients
Hospital Service District 2 of the Parish of Tangipahoa State of la. Family CurrentSince Mar 5, 2016 Accepting new patients
Internal Medicine Clinic of Tangipahoa, LLC CurrentSince Apr 15, 2021 Accepting new patients
Louisiana Hyperbarics Past Accepting new patients

Locations

301 Walnut St
Amite, LA 70422
Phone (985) 748-7141

409 NW Central Ave
Amite, LA 70422
Phone (985) 748-7141

409 NW Central Ave
#B
Amite, LA 70422

42388 Pelican Professional Park
Hammond, LA 70403
Phone (985) 542-6251

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DHBICA

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": "1454976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462752000000",
    "number": "1083072623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 WALNUT ST",
            "city": "AMITE",
            "state": "LA",
            "postal_code": "704222025",
            "telephone_number": "985-748-9485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 WALNUT ST",
            "city": "AMITE",
            "state": "LA",
            "postal_code": "704222025",
            "telephone_number": "985-748-9485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEAL",
        "first_name": "ALLEN",
        "middle_name": "RYAN",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-09",
        "last_updated": "2016-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP08682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amite, LA

Sources for this page

Verify at the official NPI Registry.