Active NPI
Amy Garrett Hale, RN,FNP
- Family Nurse Practitioner
- Lake Providence, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP05559
- Practice address
- 300 Scarborough St
Lake Providence, LA 71254-3018 - Phone
- (318) 559-2814
- NPI assigned
- Jul 28, 2008
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP05559 | LA | Primary |
Addresses
Primary practice location
300 Scarborough St
Lake Providence, LA 71254-3018
Mailing address
300 Scarborough St
Lake Providence, LA 71254-3018
Phone (318) 559-2814
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1314315 | Medicaid | LA |
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080925000086 | LA | Practitioner - Nurse Practitioner | 9234206707 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
336 N Hood St
Lake Providence, LA 71254-2140
Phone (318) 559-4023
Hospital & facility affiliations
- Delhi Home Care
- East Carroll Parish Hospital
- Fmol Health St Francis
- Richland Parish Hospital-Delhi
- Ochsner Lsu Health Monroe
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP05559 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Carroll Parish Hospital | Current | Accepting new patients | |
| East Carroll Parish Hospital | Current | Accepting new patients | |
| East Carroll Parish Hospital | Past | Accepting new patients |
Locations
340 N Hood St
Lake Providence, LA 71254
Phone (318) 559-2404
300 Scarborough St
Lk Providence, LA 71254
Phone (318) 559-2814
336 N Hood St
Lk Providence, LA 71254
Phone (318) 559-4023
Interoperability endpoints
- amy.hale.1@11988.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Lake Providence, LA
- NPI 1508603168
-
- Rural Health Clinic/Center
- Lake Providence, LA
- NPI 1902885650
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lake Providence, LA
- NPI 1982695441
Hospital
-
- Critical Access Hospital
- Delhi, LA
- NPI 1336109768
Hospital
-
- Home Health Agency
- Delhi, LA
- NPI 1124075098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571184000000",
"number": "1710142864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 SCARBOROUGH ST",
"city": "LAKE PROVIDENCE",
"state": "LA",
"postal_code": "712543018",
"telephone_number": "318-559-2814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 SCARBOROUGH ST",
"city": "LAKE PROVIDENCE",
"state": "LA",
"postal_code": "712543018",
"telephone_number": "318-559-2814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALE",
"first_name": "AMY",
"middle_name": "GARRETT",
"credential": "RN,FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-28",
"last_updated": "2019-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "AP05559",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1314315",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Providence, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; 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.