Organization Active NPI

Amazing Care, LLC

  • Primary Care Clinic/Center
  • Ruston, LA
National Provider Identifier
1134438591
Registry record updated Dec 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
AMAZING CARE, LLC
Practice address
765 S Bonner St
Ruston, LA 71270-5801
Phone
(318) 202-5935
Fax
(318) 202-5933
NPI assigned
Oct 4, 2010
Last updated
Dec 21, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2010

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

Authorized official

Name
Mrs. Wanda J Ovitt, FNP-C
Title
President
Phone
(318) 202-5935

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X LA Primary

Addresses

Primary practice location

765 S Bonner St
Ruston, LA 71270-5801

Mailing address

PO Box 1839
Ruston, LA 71273-1839
Phone (318) 202-5935

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292889600000",
    "number": "1134438591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1839",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712731839",
            "telephone_number": "318-202-5935",
            "fax_number": "318-202-5933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 S BONNER ST",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712705801",
            "telephone_number": "318-202-5935",
            "fax_number": "318-202-5933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-04",
        "last_updated": "2010-12-21",
        "status": "A",
        "authorized_official_last_name": "OVITT",
        "authorized_official_first_name": "WANDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-202-5935",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruston, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; 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.