Amaris Navedo, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

14431 Issued in PR

Practice address

3353 University Pkwy
Fort Polk VA Community Based Outpatient Clinic
Leesville, LA 71446-9041

Phone

(337) 392-3800

Fax

(337) 392-3890

NPI assigned

Apr 26, 2007

Last updated

Mar 15, 2016By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458000000000",
    "number": "1225258122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3353 UNIVERSITY PKWY",
            "address_2": "FORT POLK VA COMMUNITY BASED OUTPATIENT CLINIC",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714469041",
            "telephone_number": "337-392-3800",
            "fax_number": "337-392-3890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3353 UNIVERSITY PKWY",
            "address_2": "FORT POLK VA COMMUNITY BASED OUTPATIENT CLINIC",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714469041",
            "telephone_number": "337-392-3800",
            "fax_number": "337-392-3890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVEDO",
        "first_name": "AMARIS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2016-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Michelle Motes, RN
• Alexis Mount, MCD, CCC-SLP
• Christy Murphy, APRN-PMHNP
• Danelle Nash
• Nathanael Jacob Isaiah Nash, RBT, RLT
• Makayla Nicoson
• Emily Norris
• Kunle Ojemakinde, MD
• Oluwayemisi M. Ojemakinde, MD
• Leila Fiona Olavarria

• General Practice Physician in Leesville, LA
• Providers in Leesville, LA by specialty
• General Practice Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.