Amanda Kyle Brown, FNP
Individual provider Active NPI Family Nurse Practitioner · Leesville, LA
NPI 1275913360 · NPPES record last updated Jun 3, 2015
Key facts
- NPI
- 1275913360
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP08284 (LA)
- Practice address
- 919 S 10TH St
Leesville, LA 71446-4613 - Phone
- (337) 239-2207
- Fax
- (337) 239-2583
- NPI assigned
- Jun 3, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 24
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
- Group practices
- CLHG-Leesville
Physical Therapy Services of West Louisiana Inc
Practice addresses (Care Compare)
201 S Arkansas St
Leesville, LA 71446
Phone (337) 239-7227
301 W Fertitta Blvd
Suite 4
Leesville, LA 71446-4665
Phone (337) 238-9931
Hospital & facility affiliations
- Elara Caring
- Allegiance Home Health of Southwest Louisiana, LLC
- Vernon Home Health
- Beauregard Home Health
- Byrd Regional Hospital
- Beauregard Memorial Hospital
- Christus St Frances Cabrini Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160727001009 | LA | Practitioner - Nurse Practitioner | 8022301118 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP08284 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CLHG-Leesville | Current |
Accepting new patients | |
| CLHG-Leesville | Current |
Accepting new patients | |
| Byrd Medical Clinic Inc | Past | Accepting new patients | |
| CLHG-Leesville | Past | Accepting new patients |
Locations
1020 W Fertitta Blvd
Leesville, LA 71446
Phone (337) 239-5278
Interoperability endpoints
- amanda.brown.1@17837.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP08284 | LA | Yes |
Addresses
Primary practice location
919 S 10TH St
Leesville, LA 71446-4613
Mailing address
PO Box 130
New Llano, LA 71461-0130
Phone (337) 239-2207
Other names
- Amanda Marie Kyle
Other providers in Leesville, LA
- Brentwood Acquisition-Shreveport Inc.
- Kaitlyn P Briscoe
- Jaclyn Denise Brooks
- Jeana Marie Brooks
- Jacob Steven Broussard
- Brittany Dawn-Bonton Brown
- Hope Renee Brown
- Tomas Ferdinand Bryant
- Catherine Michelle Buffington
- Christopher Thomas Butler
All providers in Leesville, LA · Family Nurse Practitioner in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.