Active NPI
Amanda E Preedom, M.D.
- Pediatrics Physician
- Baton Rouge, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0101245041
- Practice address
- 16777 Medical Center Dr
Baton Rouge, LA 70816-3254 - Phone
- (225) 754-3278
- Fax
- (225) 754-3297
- NPI assigned
- Apr 12, 2007
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0101245041 | VA | Primary |
Addresses
Primary practice location
16777 Medical Center Dr
Baton Rouge, LA 70816-3254
Mailing address
202 8TH St
Radford, VA 24141-2426
Phone (540) 639-5188
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101245041 | VA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Child Adolescent Health Associates of the New River Valley PC | Pediatrics | Past | Accepting new patients |
| Ochsner Clinic LLC | Past | Accepting new patients | |
| East Baton Rouge Medical Center LLC | Past | Accepting new patients |
Locations
10310 The Grove Blvd
Baton Rouge, LA 70836
Phone (225) 761-5239
16777 Medical Center Dr
Baton Rouge, LA 70816
Phone (225) 754-3278
16777 Medical Center Dr
Ste 200
Baton Rouge, LA 70816
Phone (225) 936-7066
17000 Medical Center Dr
Baton Rouge, LA 70816
Phone (225) 752-2470
1514 Jefferson Hwy
New Orleans, LA 70121
104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211
Interoperability endpoints
- apreedom2304319@direct.ochsner.org
Organizations & group practices 6
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.
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- General Practice Physician
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- General Acute Care Hospital
- Baton Rouge, LA
- NPI 1053360651
-
- Internal Medicine Physician
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- NPI 1407848443
-
- Pediatrics Physician
- Radford, VA
- NPI 1144239039
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728518400000",
"number": "1659595502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 8TH ST",
"city": "RADFORD",
"state": "VA",
"postal_code": "241412426",
"telephone_number": "540-639-5188",
"fax_number": "540-639-9215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16777 MEDICAL CENTER DR",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708163254",
"telephone_number": "225-754-3278",
"fax_number": "225-754-3297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PREEDOM",
"first_name": "AMANDA",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-12",
"last_updated": "2024-10-10",
"certification_date": "2024-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101245041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.