Individual provider Active NPI

Amy Tuma Paul, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Alexandria, LA
National Provider Identifier
1265002018
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
218973 Issued in LA
Practice address
217 Brevard CT Ste C
Alexandria, LA 71303-3997
Phone
(318) 545-2451
NPI assigned
Jun 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 218973 LA Primary

Addresses

Primary practice location

217 Brevard CT Ste C
Alexandria, LA 71303-3997

Mailing address

217 Brevard CT Ste C
Alexandria, LA 71303-3997
Phone (318) 545-2451

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
I20210809000668 LA Practitioner - Nurse Practitioner 0244634582 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jennifer W. Jones, LLCGroup PAC ID 2264759091, 3 clinicians

Practice addresses (Care Compare)

5920 Coliseum Blvd
Alexandria, LA 71303-3714
Phone (318) 443-9339

Hospital & facility affiliations

  • Willis Knighton Medical Center Hospital, Shreveport, LA, CCN 190111

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer W Jones LLC Psychiatric/Mental Health CurrentSince Mar 1, 2022 Accepting new patients

Locations

5920 Coliseum Blvd
Alexandria, LA 71303
Phone (318) 443-8547

Organizations & group practices 1

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.

Hospital & facility affiliations 4

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": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1265002018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 BREVARD CT STE C",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033997",
            "telephone_number": "318-545-2451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 BREVARD CT STE C",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033997",
            "telephone_number": "318-545-2451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "AMY",
        "middle_name": "TUMA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-24",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "218973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.