Individual provider Active NPI

Amy Garrett Hale, RN,FNP

  • Family Nurse Practitioner
  • Lake Providence, LA
National Provider Identifier
1710142864
Registry record updated Oct 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP05559 Issued in LA
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

Updated by the provider on Oct 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1314315MedicaidLA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
East Carroll Parish HospitalGroup PAC ID 1153216619, 36 clinicians

Practice addresses (Care Compare)

336 N Hood St
Lake Providence, LA 71254-2140
Phone (318) 559-4023

Hospital & facility affiliations

  • Delhi Home Care Home health agency, Delhi, LA, CCN 197089
  • East Carroll Parish Hospital Hospital, Lake Providence, LA, CCN 190208
  • Fmol Health St Francis Hospital, Monroe, LA, CCN 190125
  • Richland Parish Hospital-Delhi Hospital, Delhi, LA, CCN 191323
  • Ochsner Lsu Health Monroe Hospital, Monroe, LA, CCN 190011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
AP05559LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Carroll Parish Hospital CurrentSince Jun 7, 2017 Accepting new patients
East Carroll Parish Hospital CurrentSince Jun 7, 2017 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.