Individual provider Active NPI

Amber Crystal Hardy, NP

  • Family Nurse Practitioner
  • Shreveport, LA
National Provider Identifier
1497586192
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
235755 Issued in LA
Practice address
850 Olive St Ste a
Shreveport, LA 71104-2162
Phone
(318) 239-4860
Fax
(805) 295-4715
NPI assigned
Aug 13, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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 235755 LA Primary

Addresses

Primary practice location

850 Olive St Ste a
Shreveport, LA 71104-2162

Mailing address

PO Box 4506
Shreveport, LA 71134-0506
Phone (318) 239-4860

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
I20240909001874 LA Practitioner - Nurse Practitioner 6507306263 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mary Bird Perkins Cancer CenterGroup PAC ID 4385646280, 95 clinicians

Practice addresses (Care Compare)

106000 Industrial Dr
Minden, LA 71055-5105
Phone (318) 239-4860

2106 Loop Rd
Suite B
Winnsboro, LA 71295-3343
Phone (318) 239-4860

4950 Essen LN
Baton Rouge, LA 70809-3738
Phone (225) 767-0847

850 Olive St
Suite a
Shreveport, LA 71104-2162
Phone (318) 239-4860

Hospital & facility affiliations

  • Franklin Medical Center Hospital, Winnsboro, LA, CCN 190140
  • Jackson Parish Hospital Hospital, Jonesboro, LA, CCN 191317

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
235755LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Capitol City Family Health Center, Incorporated CurrentSince Nov 25, 2024 Accepting new patients
Capitol City Family Health Center Incorporated Current Accepting new patients
Capitol City Family Health Center Incorporated CurrentSince Nov 25, 2024 Accepting new patients
Mary Bird Perkins Cancer Center CurrentSince Aug 18, 2024 Accepting new patients
Mary Bird Perkins Cancer Center CurrentSince Sep 1, 2024 Accepting new patients

Locations

3140 Florida St
Baton Rouge, LA 70806
Phone (225) 650-2000

904 Catalpa St
Donaldsonville, LA 70346
Phone (225) 264-6800

10600 Industrial Dr
Minden, LA 71055
Phone (318) 469-8388

4278 University Pkwy
Ste 4
Natchitoches, LA 71457
Phone (318) 581-4003

850 Olive St
Ste A
Shreveport, LA 71104
Phone (318) 222-3662

4950 Essen Ln
St George, LA 70809
Phone (225) 767-0847

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1497586192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4506",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711340506",
            "telephone_number": "318-239-4860",
            "fax_number": "805-295-4715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 OLIVE ST STE A",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711042162",
            "telephone_number": "318-239-4860",
            "fax_number": "805-295-4715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDY",
        "first_name": "AMBER",
        "middle_name": "CRYSTAL",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "235755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.