Individual provider Active NPI

Amy Miller

  • Nurse Practitioner
  • Baton Rouge, LA
National Provider Identifier
1215457023
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP09393 Issued in LA
Practice address
7777 Hennessy Blvd
Baton Rouge, LA 70808-4300
Phone
(225) 765-7163
NPI assigned
Jun 22, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP09393 LA Primary

Addresses

Primary practice location

7777 Hennessy Blvd
Baton Rouge, LA 70808-4300

Mailing address

PO Box 80093
Baton Rouge, LA 70898-0093

Other practice location 1

5000 Odonavan Blvd
Walker, LA 70785-6351
Phone (225) 271-6000

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
I20171201001439 LA Practitioner - Nurse Practitioner 9335406263 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP09393LAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Restorixhealth at-Home, LLC Nurse Practitioner CurrentSince Dec 1, 2023 Accepting new patients
WCS Professional Services of Louisiana, LLC Nurse Practitioner CurrentSince Mar 5, 2024 Accepting new patients
Lawrence Emergency Medicine Associates,PA Past Accepting new patients

Locations

10145 Florida Blvd
Baton Rouge, LA 70815
Phone (225) 272-0111

10748 Joor Rd
Baton Rouge, LA 70818
Phone (225) 344-3551

14686 Old Hammond Hwy
Baton Rouge, LA 70816
Phone (225) 272-9339

1642 N Flannery Rd
Baton Rouge, LA 70815
Phone (225) 275-6393

2828 Westfork Dr
Baton Rouge, LA 70816
Phone (225) 291-7049

3888 North Blvd
Baton Rouge, LA 70806
Phone (225) 334-3551

26739 LA Highway 1032
Denham Springs, LA 70726
Phone (225) 665-5544

9171 Cockerham Rd
Denham Springs, LA 70726
Phone (225) 523-5136

1300 Derek Dr
Hammond, LA 70403
Phone (985) 345-7210

1005 Eraste Landry Rd
Lafayette, LA 70506
Phone (337) 232-6370

7119 Highway 1
Mansura, LA 71350
Phone (318) 253-6553

3017 N Causeway Blvd
Ste 203
Metairie, LA 70002
Phone (504) 833-9994

3445 N Causeway Blvd
Metairie, LA 70002
Phone (412) 472-6910

3445 N Causeway Blvd
Ste 600
Metairie, LA 70002
Phone (504) 835-4919

3701 Behrman Pl
New Orleans, LA 70114
Phone (504) 367-5640

2202 False River Dr
New Roads, LA 70760
Phone (225) 638-5702

400 Hospital Rd
New Roads, LA 70760
Phone (225) 638-4404

16232 Highway 1
Simmesport, LA 71369
Phone (318) 941-2294

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1215457023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80093",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708980093",
            "fax_number": "225-765-7164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 HENNESSY BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084300",
            "telephone_number": "225-765-7163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5000 Odonavan Blvd",
            "address_purpose": "LOCATION",
            "city": "Walker",
            "state": "LA",
            "postal_code": "707856351",
            "country_code": "US",
            "telephone_number": "225-271-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "AMY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-22",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP09393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.