Amy Weatherford, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

213887 Issued in LA

Practice address

2912 Johnston St
Lafayette, LA 70503-3246

Phone

(337) 296-0482

Fax

(337) 988-9894

NPI assigned

Jun 20, 2020

Last updated

Jun 20, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Clark Integrated Medical Clinics LLCGroup PAC ID 8022372598, 12 clinicians

Skylink Medical IncGroup PAC ID 0143611640, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25308/brand/1/csg/1/fhir/r4

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.

• Clark Integrated Medical Clinics LLC

  dba Clark Integrated Medical Clinics

  • General Practice Physician
  • Lafayette, LA
  • NPI 1124529284

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Skylink Medical Inc

  • Sleep Medicine (Family Medicine) Physician
  • Lafayette, LA
  • NPI 1861163305
  Medicare reassignment Care Compare group NPD
• Clark Chiropractic, L.L.C.

  • Chiropractor
  • Lafayette, LA
  • NPI 1588799563
  NPD (past)
• Louisiana Brain Injury Specialists, LLC

  • Neurology Physician
  • Lafayette, LA
  • NPI 1912870924
  NPD (past)
• Louisiana Physical Therapy Centers of Pineville LLC

  • Physical Therapist
  • Pineville, LA
  • NPI 1407961865
  NPD (past)

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

{
    "created_epoch": "1592611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592611200000",
    "number": "1184240608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2912 JOHNSTON ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705033246",
            "telephone_number": "337-296-0482",
            "fax_number": "337-988-9894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2912 JOHNSTON ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705033246",
            "telephone_number": "337-296-0482",
            "fax_number": "337-988-9894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEATHERFORD",
        "first_name": "AMY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-20",
        "last_updated": "2020-06-20",
        "certification_date": "2020-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "213887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kduhon@medreceivables.net",
            "affiliation": "N",
            "endpointDescription": "Email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "URL",
            "address_1": "2912 Johnston St",
            "city": "Lafayette",
            "state": "LA",
            "country_code": "US",
            "postal_code": "705033246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Sydney Weaver, APRN-CNP
• Shatamia J Webb, CPM, LM
• Yvonne Webber
• Brittany Weber

• Family Nurse Practitioner in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.