Individual provider Active NPI

Amanda G Gregoire, FNP

  • Nurse Practitioner
  • New Orleans, LA
National Provider Identifier
1356686786
Registry record updated Feb 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP06895 Issued in LA
Practice address
4429 Clara St
Ste 340
New Orleans, LA 70115-6902
Phone
(504) 412-1100
NPI assigned
Dec 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP06895 LA Primary

Addresses

Primary practice location

4429 Clara St
Ste 340
New Orleans, LA 70115-6902

Mailing address

3700 Saint Charles Ave
New Orleans, LA 70115-4637
Phone (504) 412-1100

Other identifiers 1

IdentifierTypeStateIssuer
2322478MedicaidLA

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
I20130222000382 LA Practitioner - Nurse Practitioner 7719132703 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2832 Burdette St
New Orleans, LA 70125-2514
Phone (504) 866-2741

3601 Houma Blvd
Suite 302
Metairie, LA 70006-4310
Phone (504) 412-1100

Merit-based Incentive Payment System (MIPS)

Final score
94.21 of 100Reported as group
Quality
81.06
Promoting interoperability
100
Improvement activities
40
Cost
71.94

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Dec 19, 2012 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Dec 19, 2012 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G Current Accepting new patients

Locations

3601 Houma Blvd
Ste 300
Metairie, LA 70006
Phone (504) 459-3513

4429 Clara St
Ste 340
New Orleans, LA 70115
Phone (504) 897-4223

2025 Gravier St
Fl 6
New Orleans, LA 70112

1542 Tulane Ave
New Orleans, LA 70112
Phone (504) 866-2741

3700 Saint Charles Ave
New Orleans, LA 70115
Phone (504) 895-7428

2832 Burdette St
New Orleans, LA 70125
Phone (504) 866-2741

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1355270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360540800000",
    "number": "1356686786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 SAINT CHARLES AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701154637",
            "telephone_number": "504-412-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4429 CLARA ST",
            "address_2": "STE 340",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701156902",
            "telephone_number": "504-412-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGOIRE",
        "first_name": "AMANDA",
        "middle_name": "G",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-12",
        "last_updated": "2013-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP06895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2322478",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.