Active NPI
Amanda M Erwin
- Surgical Assistant
- Slidell, LA
National Provider Identifier
1477031763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 194972
- Practice address
- 376 Markham Dr
Slidell, LA 70458-5232 - Phone
- (985) 960-7080
- NPI assigned
- Jul 30, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Technologist | 246ZS0410X | 131366 | LA | |
| Surgical Assistant | 246ZC0007X | 194972 | Primary |
Addresses
Primary practice location
376 Markham Dr
Slidell, LA 70458-5232
Mailing address
409 Dockside Dr
Slidell, LA 70461-1675
Phone (985) 960-7080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 131366 | LA | MD | Surgical Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ams Assisting LLC | Surgical Assistant | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Surgical Assistant
- Slidell, LA
- NPI 1285225698
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611792000000",
"number": "1477031763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 DOCKSIDE DR",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704611675",
"telephone_number": "985-960-7080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "376 MARKHAM DR",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704585232",
"telephone_number": "985-960-7080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERWIN",
"first_name": "AMANDA",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-30",
"last_updated": "2021-01-28",
"certification_date": "2021-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "246ZS0410X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Technologist",
"state": "LA",
"license": "131366",
"primary": false
},
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": null,
"license": "194972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Slidell, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.