Amanda Riddell Lea, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

DO.000325 Issued in LA

Practice address

2335 Church St
Suite E
Zachary, LA 70791-2700

Phone

(225) 654-3607

Fax

(225) 658-2262

NPI assigned

Jun 13, 2008

Last updated

Jan 26, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal MedicineAlso: Hospice/Palliative Care

Education

Kansas City University of Physicians and Surgeons, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hospital Service District 1 of East Baton Rouge ParishGroup PAC ID 0941191902, 44 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hospital Service District 1 of East Baton Rouge Parish

  dba Lane Regional Medical Center-Professional

  • General Acute Care Hospital
  • Zachary, LA
  • NPI 1962437681
  Medicare reassignment Care Compare group NPD
• Alvin C Moreau Jr Licensed Physical Therapist DTD 01 15 82

  dba Moreau Physical Therapy

  • Physical Therapist
  • Beaumont, TX
  • NPI 1831962018
  NPD (past)

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579996800000",
    "number": "1609036466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2335 CHURCH ST",
            "address_2": "SUITE E",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707912700",
            "telephone_number": "225-654-3607",
            "fax_number": "225-658-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 CHURCH ST",
            "address_2": "SUITE E",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707912700",
            "telephone_number": "225-654-3607",
            "fax_number": "225-658-2262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEA",
        "first_name": "AMANDA",
        "middle_name": "RIDDELL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-13",
        "last_updated": "2020-01-26",
        "certification_date": "2020-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "DO.000325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2345711",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bria L Lang
• Casey Payne Lanus, FNP-C
• Stephanie Lathers
• Lauren B Rivet (Rivet Hand Rehabilitation Center)
• Laurie H. Harrington, M.D,, LLC
• Sharon Leake, L.M.T.
• Jessica Leblanc, MD
• Kyle Leblanc, PT
• Sophia Leblanc, DPT
• Ambrea Lee, FNP

• Internal Medicine Physician in Zachary, LA
• Providers in Zachary, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2020; 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.

Verify at the official NPI Registry.