Amanda Leigh Harrell, F.N.P.-C
Individual provider Active NPI Family Nurse Practitioner · Deridder, LA
NPI 1295082568 · NPPES record last updated Jun 29, 2016
Key facts
- NPI
- 1295082568
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP08787 (LA)
- Practice address
- 600 S Pine St
Deridder, LA 70634-4942 - Phone
- (337) 462-7100
- NPI assigned
- Aug 6, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 16
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Beauregard Medical and Surgical Center, LLC
Practice addresses (Care Compare)
301 S Washington St
Deridder, LA 70634-4861
Phone (337) 460-7688
Hospital & facility affiliations
- Beauregard Memorial 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 |
|---|---|---|---|---|
| I20161121001056 | LA | Practitioner - Nurse Practitioner | 9537453618 | Reassigns benefits to 9 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN122253 | LA | MD | Registered Nurse |
| AP08787 | LA | MD | Family Nurse Practitioner |
Practice roles
Locations
211 4th St
Alexandria, LA 71301
Phone (318) 473-3000
316 W 7th St
Deridder, LA 70634
Phone (337) 462-1400
495 W 8th St
Deridder, LA 70634
Phone (337) 462-2262
200 W 5th St
Deridder, LA 70634
Phone (337) 221-1417
301 S Washington St
Deridder, LA 70634
Phone (337) 460-7688
206 W 5th St
Deridder, LA 70634
Phone (337) 462-7106
501 S Pine St
#C
Deridder, LA 70634
Phone (337) 463-9890
600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100
302 W 6th St
Deridder, LA 70634
Phone (337) 463-8556
501 S Pine St
Deridder, LA 70634
Phone (337) 462-3937
2640 Country Club Rd
Ste 400
Lake Charles, LA 70605
Phone (337) 426-0919
2900 Gerstner Memorial Dr
Lake Charles, LA 70601
Phone (337) 485-4185
3439 Highway 1256
Sulphur, LA 70665
Phone (337) 607-0037
Interoperability endpoints
- amanda.harrell@beauregard.medalliesdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP08787 | LA | Yes |
| Registered Nurse | 163W00000X | RN122253 | LA |
Addresses
Primary practice location
600 S Pine St
Deridder, LA 70634-4942
Mailing address
PO Box 504
Dry Creek, LA 70637-0504
Phone (337) 302-2739
Other providers in Deridder, LA
- Hanger Prosthetics & Orthotics Inc
- Hanks Health and Wellness, LLC
- Shannon Dale Hanks
- Malcolm Devereaux Hare Jr.
- Jaime Lyn Harper
- Felicia Harrison
- Laura Haydon
- Russell Warren Hearne
- Casady James Hennigan
- James Thomas Hennigan, Jr
All providers in Deridder, 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 29, 2016. 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.