Amy Denise Archer, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

916910 Issued in MS

Practice address

23363 South Robin Road
Mandeville, LA 70448

Phone

(985) 624-4100

Fax

(985) 624-4125

NPI assigned

Jan 23, 2023

Last updated

Feb 27, 2024By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Florida Parishes Human Services Authority / Fontainebleau TX Center

  • Substance Abuse Rehabilitation Facility
  • Mandeville, LA
  • NPI 1306800271
  NPD (past)
• Fphsa

  • Substance Abuse Rehabilitation Facility
  • Mandeville, LA
  • NPI 1104376342
  NPD (past)

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1235845371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704700037",
            "telephone_number": "985-624-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23363 SOUTH ROBIN ROAD",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "70448",
            "telephone_number": "985-624-4100",
            "fax_number": "985-624-4125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCHER",
        "first_name": "AMY",
        "middle_name": "DENISE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-23",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "916910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.fphsa.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "23363 South Robin Road",
            "city": "Mandeville",
            "state": "LA",
            "country_code": "US",
            "postal_code": "70448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Apemus LLC
• Apex Home Health, L.L.C. (Ultra Home Health)
• Lauren Apkhazava, MPH
• Carolyn Applebaum, CRNA
• Arch LTD., LLC (101 Mobility)
• Mary Karlene Arena, RN
• Malcolm Michael Armstrong Sr.
• Lauren Arnold, MA, CCC/SLP
• Mischa Bourg Arnold, MS, CRC, CVE
• Artis Beatty a Professional Optometry Corporation

• Registered Nurse in Mandeville, LA
• Providers in Mandeville, LA by specialty
• Registered Nurse in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.