Individual provider Active NPI

Amanda Kate Belin

  • Family Nurse Practitioner
  • Monroe, LA
National Provider Identifier
1265956254
Registry record updated Aug 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP09485 Issued in LA
Practice address
2913 Desiard St
Monroe, LA 71201-7207
Phone
(318) 651-9914
NPI assigned
Aug 1, 2017
Last updated
Aug 1, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A005261 AR
Family Nurse Practitioner 363LF0000X AP09485 LA Primary

Addresses

Primary practice location

2913 Desiard St
Monroe, LA 71201-7207

Mailing address

2913 Betin Ave
Monroe, LA 71201-7257
Phone (318) 388-1250

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
I20170907003264 LA Practitioner - Nurse Practitioner 3274806542 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1541 Kings Hwy
Shreveport, LA 71103-4228
Phone (318) 675-5000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A005261ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lsu Health Sciences Center Shreveport Faculty Group Practice CurrentSince Feb 22, 2021 Accepting new patients
Affinity Health Group, LLC Current Accepting new patients
Affinity Health Group LLC CurrentSince Apr 23, 2018 Accepting new patients
University Health Shreveport LLC CurrentSince Feb 22, 2021 Accepting new patients
Hulin Urgent Care Services LLC CurrentSince Feb 5, 2019 Accepting new patients
Hulin Urgent Care Services LLC CurrentSince Feb 5, 2019 Accepting new patients
Brfhh Monroe LLC CurrentSince Feb 22, 2021 Accepting new patients
Affinity Health Group, LLC CurrentSince Apr 23, 2018 Accepting new patients
Primary Health Services Center Past Accepting new patients
Primary Health Services Center Past Accepting new patients

Locations

2113 Airline Dr
Ste 100
Bossier City, LA 71111
Phone (318) 519-3088

130 Desiard St
Ste 355
Monroe, LA 71201
Phone (318) 807-7875

2408 Broadmoor Blvd
Ste 2
Monroe, LA 71201
Phone (318) 807-0525

4864 Jackson St
Monroe, LA 71202
Phone (318) 330-7000

1110 E Saint Peter St
New Iberia, LA 70560
Phone (337) 364-1166

1512 W Kirby Pl
Shreveport, LA 71103
Phone (318) 626-0177

1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287

1606 Kings Hwy
Shreveport, LA 71103
Phone (318) 675-6402

Organizations & group practices 10

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": "1501545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501545600000",
    "number": "1265956254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2913 BETIN AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712017257",
            "telephone_number": "318-388-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2913 DESIARD ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712017207",
            "telephone_number": "318-651-9914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELIN",
        "first_name": "AMANDA",
        "middle_name": "KATE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-01",
        "last_updated": "2017-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A005261",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP09485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.