Individual provider Active NPI

Amanda Barbee, MED, ATC, LAT

  • Athletic Trainer
  • Denham Springs, LA
National Provider Identifier
1124532098
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
312933 Issued in LA
Practice address
8779 Greenleaves Dr
Denham Springs, LA 70726-6747
Phone
(504) 296-4296
NPI assigned
Nov 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X LAT5149 TX
Athletic Trainer 2255A2300X 312933 LA Primary

Addresses

Primary practice location

8779 Greenleaves Dr
Denham Springs, LA 70726-6747

Mailing address

13103 Southern Valley Dr
Pearland, TX 77584-3793
Phone (504) 296-4296

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)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
312933LAMDAthletic Trainer
LAT5149TXMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1511913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1124532098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13103 SOUTHERN VALLEY DR",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775843793",
            "telephone_number": "504-296-4296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8779 GREENLEAVES DR",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707266747",
            "telephone_number": "504-296-4296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBEE",
        "first_name": "AMANDA",
        "credential": "MED, ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-29",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "LAT5149",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "LA",
            "license": "312933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denham Springs, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.

Verify at the official NPI Registry.