Amanda Bruce Novak, WHNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

AP06941 Issued in LA

Practice address

1049 North Pine Road
Hardtner Medical Center
Olla, LA 71465

Phone

(318) 495-3175

Fax

(318) 495-0771

NPI assigned

Jul 5, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Amanda Bruce Essary Former name

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

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.

• Lasalle Parish Hospital Service Dist No1

  • Critical Access Hospital
  • Olla, LA
  • NPI 1639263189
  Medicare reassignment NPD
• Lasalle Parish Hospital Service District #1

  • Critical Access Hospital
  • Olla, LA
  • NPI 1184815466
  Medicare reassignment NPD
• Lasalle Parish Hospital Service District #1

  • Rural Health Clinic/Center
  • Olla, LA
  • NPI 1053415745
  NPD
• Lasalle Hospital Service Dist #1

  • Critical Access Hospital
  • Olla, LA
  • NPI 1871621821
  NPD (past)

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1689939746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1049 NORTH PINE ROAD",
            "address_2": "HARDTNER MEDICAL CENTER",
            "city": "OLLA",
            "state": "LA",
            "postal_code": "71465",
            "telephone_number": "318-495-3175",
            "fax_number": "318-495-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 NORTH PINE ROAD",
            "address_2": "HARDTNER MEDICAL CENTER",
            "city": "OLLA",
            "state": "LA",
            "postal_code": "71465",
            "telephone_number": "318-495-3175",
            "fax_number": "318-495-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVAK",
        "first_name": "AMANDA",
        "middle_name": "BRUCE",
        "name_prefix": "Mrs.",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "LA",
            "license": "AP06941",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "LA",
            "license": "AP06941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "ESSARY",
            "middle_name": "BRUCE",
            "credential": "WHNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lasalle Parish Hospital Service District #1
• Lasalle Parish Hospital Service District #1
• Linus Carroll Medical Corporation
• Carmela Ann Mathews, FNP
• Mallory Morton, RDN, LDN
• Kayla Cloud Patten, LMFT
• Phillip C Rowden, M.D.
• Sahara Emergency Physicians, LLC
• Ellen Deann Shipp, LCSW
• Breanne Smith, RDN, LDN

• Women's Health Nurse Practitioner in Olla, LA
• Providers in Olla, LA by specialty
• Women's Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.