Individual provider Active NPI

Amanda Charlene Lacaze, FNP-C

  • Family Nurse Practitioner
  • Alexandria, LA
National Provider Identifier
1306769898
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
248657 Issued in LA
Practice address
4501 Jackson St Ext Ste C355
Alexandria, LA 71303-2555
Phone
(318) 528-5131
NPI assigned
Aug 1, 2026
Last updated
Sep 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 248657 LA Primary

Addresses

Primary practice location

4501 Jackson St Ext Ste C355
Alexandria, LA 71303-2555

Mailing address

8403 Twin Bridges Rd
Elmer, LA 71424-9772
Phone (318) 794-5320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
248657LAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1785542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790294400000",
    "number": "1306769898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8403 TWIN BRIDGES RD",
            "city": "ELMER",
            "state": "LA",
            "postal_code": "714249772",
            "telephone_number": "318-794-5320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 JACKSON ST EXT STE C355",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713032555",
            "telephone_number": "318-528-5131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACAZE",
        "first_name": "AMANDA",
        "middle_name": "CHARLENE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-01",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "248657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; 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.