Individual provider Active NPI

Amanda Anielka Rodriguez, NP

  • Family Nurse Practitioner
  • Metairie, LA
National Provider Identifier
1205503174
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
221900 Issued in LA
Practice address
3200 N Arnoult Rd
Metairie, LA 70002-4713
Phone
(504) 267-4659
Fax
(504) 301-0704
NPI assigned
Aug 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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 221900 LA Primary

Addresses

Primary practice location

3200 N Arnoult Rd
Metairie, LA 70002-4713

Mailing address

1211 Kabel Dr
New Orleans, LA 70131-3519
Phone (504) 352-4711

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
I20230919004429 LA Practitioner - Nurse Practitioner 4688038953 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Calcasieu Urgent Care LLCGroup PAC ID 5496908071, 132 clinicians

Practice addresses (Care Compare)

2558 Barataria Blvd
Marrero, LA 70072-5304
Phone (504) 321-8122

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
E. M. Dimitri, D.O. PMC CurrentSince May 12, 2023 Accepting new patients
Calcasieu Urgent Care LLC CurrentSince Apr 23, 2024 Accepting new patients
Calcasieu Urgent Care, LLC CurrentSince Apr 23, 2024 Accepting new patients
Ashish Udhrain MD LLC PastSince Sep 16, 2017 Accepting new patients
Shapiro Dimitri Medical, LLC Past Accepting new patients

Locations

1909 E Judge Perez Dr
Chalmette, LA 70043
Phone (504) 293-3963

387 W Railroad Ave
Independence, LA 70443
Phone (931) 256-1110

2640 Country Club Rd
Ste 400
Lake Charles, LA 70605
Phone (337) 426-0919

2558 Barataria Blvd
Marrero, LA 70072
Phone (504) 321-8121

3213 17th St
Ste 8
Metairie, LA 70002
Phone (504) 322-1104

5646 Read Blvd
Ste 230
New Orleans, LA 70127
Phone (504) 224-6588

2104 Gause Blvd W
Ste A
Slidell, LA 70460
Phone (985) 643-4512

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1205503174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 KABEL DR",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701313519",
            "telephone_number": "504-352-4711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 N ARNOULT RD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700024713",
            "telephone_number": "504-267-4659",
            "fax_number": "504-301-0704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "AMANDA",
        "middle_name": "ANIELKA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-26",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "221900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.