Mary Amelia Duncan, APRN, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP04543 Issued in LA

Practice address

704 Poinciana Ave
Suite C
Mamou, LA 70554-2224

Phone

(337) 468-4038

Fax

(337) 468-4042

NPI assigned

Aug 24, 2007

Last updated

Nov 3, 2017By 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 6

Addresses

Other names 1

• Mrs. Mary Amelia Duncan Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509667200000",
    "number": "1679766455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 POINCIANA AVE.",
            "address_2": "SUITE C",
            "city": "MAMOU",
            "state": "LA",
            "postal_code": "70554",
            "telephone_number": "337-468-4038",
            "fax_number": "337-468-4042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 POINCIANA AVE",
            "address_2": "SUITE C",
            "city": "MAMOU",
            "state": "LA",
            "postal_code": "705542224",
            "telephone_number": "337-468-4038",
            "fax_number": "337-468-4042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "MARY",
        "middle_name": "AMELIA",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-24",
        "last_updated": "2017-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP04543",
            "primary": false
        },
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "LA",
            "license": "AP04543",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95003863",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "LA",
            "license": "AP04543",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95003863",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP04543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "DUNCAN",
            "middle_name": "AMELIA",
            "prefix": "MRS.",
            "credential": "APRN, FNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Rainee R Deshotel, SLP
• Robin Mark Deshotel, RPH
• Deshotels Drugs, Inc
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• Christina Duplechin, SLP
• Michael Rhett Dupuis, CRNA
• Elvin Reed & Phyllis Vidrine (Reed's Pharmacy)
• Eric Fontenot MD Internal Medicine Group L.L.C.

• Family Nurse Practitioner in Mamou, LA
• Providers in Mamou, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.