Individual provider Active NPI

Amy Baum Tomb, ANP

  • Nurse Practitioner
  • Zachary, LA
National Provider Identifier
1497019376
Registry record updated Mar 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP06766 Issued in LA
Practice address
6550 Main St
Ste. 1000
Zachary, LA 70791-4092
Phone
(225) 654-1559
Fax
(225) 654-6212
NPI assigned
Jun 26, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2018

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 AP06766 LA Primary

Addresses

Primary practice location

6550 Main St
Ste. 1000
Zachary, LA 70791-4092

Mailing address

8585 Picardy Ave
Ste 410
Baton Rouge, LA 70809-3749
Phone (985) 876-0300

Other identifiers 1

IdentifierTypeStateIssuer
2302248MedicaidLA

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
I20120717000010 LA Practitioner - Nurse Practitioner 1951567197 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP06766LAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baton Rouge Clinic, a Medical Corporation CurrentSince May 1, 2025 Accepting new patients
Baton Rouge Clinic, a Medical Corporation CurrentSince May 1, 2025 Accepting new patients
Cardiovascular Institute of the South, LLC Nurse Practitioner Past Accepting new patients
Baton Rouge Clinic, a Medical Corporation Past Accepting new patients
The Wellness Studio, LLC Past Accepting new patients

Locations

8585 Picardy Ave
Ste 410
Baton Rouge, LA 70809
Phone (225) 237-4111

7373 Perkins Rd
Baton Rouge, LA 70808
Phone (225) 246-9790

4739 Highway 10
Jackson, LA 70748
Phone (225) 634-0094

1181 Highway 19
Slaughter, LA 70777
Phone (225) 306-0030

1169 Highway 19
#B
Slaughter, LA 70777
Phone (225) 513-7155

Interoperability endpoints

  • Direct secure messaging: atomb5329718@direct.casso.us.com
  • FHIR API: https://api.platform.athenahealth.com/19631/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520294400000",
    "number": "1497019376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8585 PICARDY AVE",
            "address_2": "STE 410",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093749",
            "telephone_number": "985-876-0300",
            "fax_number": "985-872-0317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 MAIN ST",
            "address_2": "STE. 1000",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707914092",
            "telephone_number": "225-654-1559",
            "fax_number": "225-654-6212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMB",
        "first_name": "AMY",
        "middle_name": "BAUM",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-26",
        "last_updated": "2018-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP06766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2302248",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zachary, LA

Sources for this page

Verify at the official NPI Registry.