Active NPI
Amy Tycer Smith, PA
- Physician Assistant
- Baton Rouge, LA
National Provider Identifier
1336378678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA.200284
- Practice address
- 8585 Picardy Ave
Baton Rouge, LA 70809-3679 - Phone
- (800) 893-9698
- NPI assigned
- Jul 8, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA.200284 | LA | Primary |
Addresses
Primary practice location
8585 Picardy Ave
Baton Rouge, LA 70809-3679
Mailing address
200 Corporate Blvd
Suite 201
Lafayette, LA 70508-3870
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
10154 Jefferson Hwy
Baton Rouge, LA 70809-2725
Phone (225) 927-5663
7330 Perkins Rd
Baton Rouge, LA 70808-4325
Phone (225) 769-3376
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA.200284 | LA | MD | Physician Assistant |
Organizations & group practices 2
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.
-
- Medical Specialty Clinic/Center
- Baton Rouge, LA
- NPI 1437371820
-
- Dermatology Physician
- Baton Rouge, LA
- NPI 1326037649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247011200000",
"number": "1336378678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CORPORATE BLVD",
"address_2": "SUITE 201",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705083870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8585 PICARDY AVE",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708093679",
"telephone_number": "800-893-9698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "AMY",
"middle_name": "TYCER",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-08",
"last_updated": "2009-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "LA",
"license": "PA.200284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.