Individual provider Active NPI

Amanda Decoux Ho, PA

  • Physician Assistant
  • Lafayette, LA
National Provider Identifier
1396226155
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1039 Camellia Blvd
Lafayette, LA 70508-6679
Phone
(337) 237-0650
NPI assigned
Aug 28, 2018
Last updated
Jul 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X LA Primary

Addresses

Primary practice location

1039 Camellia Blvd
Lafayette, LA 70508-6679

Mailing address

604 N Acadia Rd Ste 101
Thibodaux, LA 70301-4897

Other practice location 1

401 E Verot School Rd
Lafayette, LA 70508-3315
Phone (337) 232-3353

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
I20181130000922 LA Practitioner - Physician Assistant 1850635988 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clark Integrated Medical Clinics LLCGroup PAC ID 8022372598, 12 clinicians

Practice addresses (Care Compare)

401 E Verot School Rd
Lafayette, LA 70508-3315
Phone (337) 232-3353

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana Brain Injury Specialists, LLC CurrentSince Sep 28, 2025 Accepting new patients
Louisiana Physical Therapy Centers of Pineville LLC Past Accepting new patients
Clark Chiropractic, L.L.C. PastSince Jan 8, 2018 Accepting new patients

Locations

401 E Verot School Rd
Lafayette, LA 70508
Phone (337) 232-3353

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1396226155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 N ACADIA RD STE 101",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1039 CAMELLIA BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086679",
            "telephone_number": "337-237-0650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 E Verot School Rd",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705083315",
            "country_code": "US",
            "telephone_number": "337-232-3353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HO",
        "first_name": "AMANDA",
        "middle_name": "DECOUX",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-28",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.