Amanda Star Saunders, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

AP05837 Issued in LA

Practice address

2910 Shed Rd
Bossier City, LA 71111-3154

Phone

(318) 747-0540

Fax

(318) 741-5700

NPI assigned

Oct 16, 2009

Sex

Female

Sole proprietor

Yes

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

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 and National Provider Directory roles.

• Lsu Health Sciences Center Shreveport Faculty Group Practice

  • Family Medicine Physician
  • Shreveport, LA
  • NPI 1013374222
  Medicare reassignment NPD
• Brfhh Shreveport LLC

  dba University Health Shreveport

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1912909912
  NPD (past)

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

{
    "created_epoch": "1255651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1689909103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 SHED RD",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711113154",
            "telephone_number": "318-747-0540",
            "fax_number": "318-741-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 SHED RD",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711113154",
            "telephone_number": "318-747-0540",
            "fax_number": "318-741-5700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1541 Kings Hwy",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711034228",
            "country_code": "US",
            "telephone_number": "318-626-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAUNDERS",
        "first_name": "AMANDA",
        "middle_name": "STAR",
        "name_prefix": "Mrs.",
        "credential": "CPNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-16",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "LA",
            "license": "AP05837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2117254",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sanjay Kumar Shah MD & Willis-Knighton Medical Center Inc.
• Courtney Santos, MA, LPC
• Larry S Sasaki, MD
• Madeline Saucier
• Robert Kirk Saucier, M.D.
• Neal Sauviac, PHARMD
• Priscilla Saxton, AP
• Rictoria Saxton, AP
• Cami Marie Schmidtke, MS, BCBA
• Randi Schulte, HIS

• Pediatric Nurse Practitioner in Bossier City, LA
• Providers in Bossier City, LA by specialty
• Pediatric Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; 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.

Verify at the official NPI Registry.