NPIMap

Individual provider Active NPI

Amanda Elizabeth Keys, F.N.P.

  • Family Nurse Practitioner
  • Lake Charles, LA
National Provider Identifier
1215145164
Registry record updated Apr 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP05183 Issued in LA
Practice address
600 Dr Michael Debakey Dr
Lake Charles, LA 70601-5727
Phone
(337) 436-3813
Fax
(337) 439-0214
NPI assigned
May 21, 2007
Last updated
Apr 13, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2017

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 AP05183 LA Primary

Addresses

Primary practice location

600 Dr Michael Debakey Dr
Lake Charles, LA 70601-5727

Mailing address

501 Dr Michael Debakey Dr
Lake Charles, LA 70601-5724
Phone (337) 433-8400

Other identifiers 1

IdentifierTypeStateIssuer
1024813MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080408000194 LA Practitioner - Nurse Practitioner 8729165360 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hinton NP Services, LLCGroup PAC ID 9830376177, 5 clinicians
Imperial Health LLPGroup PAC ID 7719886779, 75 clinicians

Practice addresses (Care Compare)

1510 William St
Lake Charles, LA 70601-3824
Phone (337) 214-0097

600 Doctor Michael Debakey Dr
Lake Charles, LA 70601-5727
Phone (337) 436-3813

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP05183LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Imperial Health, LLP CurrentSince Jan 1, 2013 Accepting new patients
Hinton NP Services, LLC CurrentSince Feb 2, 2026 Accepting new patients
Imperial Health LLP CurrentSince Jan 1, 2013 Accepting new patients
Cardiovascular Specialists of Southwest Louisiana, LLC Past Accepting new patients
Hospital Medicine Associates LLC Nurse Practitioner Past Accepting new patients
Mulhearn Medical, LLC Past Accepting new patients
Acs Primary Care Physicians Louisiana PC Nurse Practitioner Past Accepting new patients
Lake Charles Memorial Heart and Vascular Center PastSince Mar 1, 2009 Accepting new patients

Locations

2002 W Walnut St
Ste 101
Lake Charles, LA 70601
Phone (337) 214-0097

501 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 312-8258

600 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 439-5800

250 Beglis Pkwy
Ste 2
Sulphur, LA 70663
Phone (337) 310-8834

Interoperability endpoints

  • Direct secure messaging: amanda.keys@1288.direct.myezyaccess.com

Organizations & group practices 8

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492041600000",
    "number": "1215145164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 DR MICHAEL DEBAKEY DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015724",
            "telephone_number": "337-433-8400",
            "fax_number": "337-312-6708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 DR MICHAEL DEBAKEY DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015727",
            "telephone_number": "337-436-3813",
            "fax_number": "337-439-0214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEYS",
        "first_name": "AMANDA",
        "middle_name": "ELIZABETH",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2017-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP05183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1024813",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.