Active NPI
Amanda Leigh Downard, FNP
- Family Nurse Practitioner
- Jackson, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R880042
- Practice address
- 1325 E Fortification St
Jackson, MS 39202-2442 - Phone
- (601) 354-4488
- Fax
- (601) 351-5980
- NPI assigned
- Feb 7, 2011
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R880042 | MS | Primary |
Addresses
Primary practice location
1325 E Fortification St
Jackson, MS 39202-2442
Mailing address
1325 E Fortification St
Jackson, MS 39202-2442
Phone (601) 354-4488
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- 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
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3502 W Northside Dr
Jackson, MS 39213-4454
Phone (601) 362-5321
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mississippi Sports Medicine & Orthopaedic Center | Current | Accepting new patients | |
| Central Mississippi Civic Improvement Association Inc. | Current | Accepting new patients | |
| Mississippi State Hospital | Current | Accepting new patients | |
| Mississippi State Hospital at Whitfield | Current | Accepting new patients | |
| Mississippi State Hospital at Whitfield | Current | Accepting new patients | |
| Central Mississippi Civic Improvement Association, Inc | Current | Accepting new patients | |
| Central Mississippi Civic Improvement Association, Inc | Past | Accepting new patients | |
| Southeast Mississippi Rural Health Initiative, Inc. | Past | Accepting new patients |
Locations
2649 Highway 80 W
Ste 301B
Jackson, MS 39204
Phone (601) 376-2999
3502 W Northside Dr
Unit 4
Jackson, MS 39213
1325 E Fortification St
Jackson, MS 39202
Phone (601) 354-4488
3502 W Northside Dr
Unit 5
Jackson, MS 39213
1225 N State St
Jackson, MS 39202
Phone (601) 292-4261
3502 W Northside Dr
Jackson, MS 39213
Phone (601) 982-1625
129 White Oak St
Utica, MS 39175
Phone (601) 885-6021
3550 Highway 468 W
#B60
Whitfield, MS 39193
3550 Highway 468 W
Whitfield, MS 39193
Organizations & group practices 8
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.
-
- Federally Qualified Health Center (FQHC)
- Jackson, MS
- NPI 1134151442
-
- Orthopaedic Surgery Physician
- Jackson, MS
- NPI 1568415560
-
- Mental Illness Community Based Residential Treatment Facility
- Jackson, MS
- NPI 1336224179
-
- Federally Qualified Health Center (FQHC)
- Jackson, MS
- NPI 1275561862
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Jackson, MS
- NPI 1134366867
-
- Psychiatry Physician
- Whitfield, MS
- NPI 1497788715
-
- Federally Qualified Health Center (FQHC)
- Jackson, MS
- NPI 1437829777
-
- Federally Qualified Health Center (FQHC)
- Petal, MS
- NPI 1225073968
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642636800000",
"number": "1467758573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1325 E FORTIFICATION ST",
"city": "JACKSON",
"state": "MS",
"postal_code": "392022442",
"telephone_number": "601-354-4488",
"fax_number": "013-515-9806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 E FORTIFICATION ST",
"city": "JACKSON",
"state": "MS",
"postal_code": "392022442",
"telephone_number": "601-354-4488",
"fax_number": "601-351-5980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOWNARD",
"first_name": "AMANDA",
"middle_name": "LEIGH",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-07",
"last_updated": "2022-01-20",
"certification_date": "2022-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "R880042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.