Amanda M Devereux, RN, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

RN118307 Issued in LA

Practice address

4628 Demontluzin St
New Orleans, LA 70122-6104

Phone

(504) 655-1819

Fax

(504) 655-1819

NPI assigned

Jan 23, 2018

Last updated

Jan 23, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Nola Nesting LLC

  • Doula
  • New Orleans, LA
  • NPI 1427915198
  NPD Authorized official

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

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516665600000",
    "number": "1184122202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4628 DEMONTLUZIN ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701226104",
            "telephone_number": "504-655-1819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4628 DEMONTLUZIN ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701226104",
            "telephone_number": "504-655-1819",
            "fax_number": "504-655-1819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVEREUX",
        "first_name": "AMANDA",
        "middle_name": "M",
        "credential": "RN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-23",
        "last_updated": "2018-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "RN118307",
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "LA",
            "license": "RN118307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camille Cousin Detrinis
• Harsahib Singh Dev, MD
• Chantell Devall
• Reghan Recile Devay, FNP
• Ally Dever, BS
• Lindsay Deverman
• Brandon G Devezin I, MHP
• Chakkungal P. Devidoss, M.D.
• Keith Devilliers Jr., BCBA
• Devine Sister's of Faith (DSF)

• Lactation Consultant (Registered Nurse) in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Lactation Consultant (Registered Nurse) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; 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.