Individual provider Active NPI

Amanda K. Brown, APRN

  • Family Nurse Practitioner
  • Monroe, LA
National Provider Identifier
1396709820
Registry record updated Sep 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP04747 Issued in LA
Practice address
920 Oliver Rd
Suite 1600a
Monroe, LA 71201-5702
Phone
(318) 966-2008
Fax
(318) 966-2007
NPI assigned
Apr 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2008

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 AP04747 LA Primary

Addresses

Primary practice location

920 Oliver Rd
Suite 1600a
Monroe, LA 71201-5702

Mailing address

920 Oliver Rd Ste 1600a
Monroe, LA 71201-5702
Phone (318) 966-2008

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
I20070730000887 LA Practitioner - Nurse Practitioner 0244331569 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4310 S Grand St
Suite 1
Monroe, LA 71202-6322

Merit-based Incentive Payment System (MIPS)

Final score
81.51 of 100Reported as apm
Quality
60.04
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP04747LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Health Group, LLC CurrentSince May 1, 2021 Accepting new patients
Affinity Health Group, LLC Current Accepting new patients
Affinity Health Group, LLC Family CurrentSince May 1, 2021 Accepting new patients
St Francis Medical Center, Inc Past Accepting new patients
Bastrop Rehabilitation Hospital, LLC Past Accepting new patients
Bastrop Rehabilitation Hospital, LLC Past Accepting new patients

Locations

920 Oliver Rd
Ste 1600
Monroe, LA 71201
Phone (318) 323-1110

920 Oliver Rd
Ste 1600A
Monroe, LA 71201
Phone (318) 323-1100

2408 Broadmoor Blvd
Ste 2
Monroe, LA 71201
Phone (318) 807-0525

130 Desiard St
Ste 355
Monroe, LA 71201
Phone (318) 807-7875

Organizations & group practices 6

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": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221091200000",
    "number": "1396709820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 OLIVER RD STE 1600A",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015702",
            "telephone_number": "318-966-2008",
            "fax_number": "318-966-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 OLIVER RD",
            "address_2": "SUITE 1600A",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015702",
            "telephone_number": "318-966-2008",
            "fax_number": "318-966-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "AMANDA",
        "middle_name": "K.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-13",
        "last_updated": "2008-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP04747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.