Amanda Charpentier, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

220991 Issued in LA

Practice address

128 Neuroscience CT
Gray, LA 70359-5209

Phone

(985) 917-3007

NPI assigned

Jul 15, 2021

Last updated

Jan 3, 2025By 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

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southeast Neuroscience Center, LLCGroup PAC ID 9032010558, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Southeast Neuroscience Center, LLC

  dba Imaging Center of South Louisiana

  • Specialist
  • Gray, LA
  • NPI 1285630129
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1700458015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 NEUROSCIENCE CT",
            "city": "GRAY",
            "state": "LA",
            "postal_code": "703595209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 NEUROSCIENCE CT",
            "city": "GRAY",
            "state": "LA",
            "postal_code": "703595209",
            "telephone_number": "985-917-3007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARPENTIER",
        "first_name": "AMANDA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-15",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "220991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anita Bonvillain, LPC
• Tiffany Lashone Borne
• Katie Elizabeth Boudreaux, SLP
• Darin R Branson, APRN FNP-C
• Cardiovascular Institute of the South ASC, LLC
• Teri Lynn Chatagnier, LPC
• Chosen Lab Services LLC
• Brandi Clark, MS, ATC, LAT
• Susan Folse Crochet, RN
• Jade Dandry

• Family Nurse Practitioner in Gray, LA
• Providers in Gray, 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 Jan 3, 2025; 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.