Individual provider Active NPI

Amanda K Meyer, NP

  • Pediatric Nurse Practitioner
  • Livingston, LA
National Provider Identifier
1710445432
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
203903 Issued in LA
Practice address
28315 S Frost Rd
Livingston, LA 70754-2612
Phone
(225) 283-1356
Fax
(225) 686-2962
NPI assigned
Mar 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 203903 LA Primary

Addresses

Primary practice location

28315 S Frost Rd
Livingston, LA 70754-2612

Mailing address

32719 Carol Ann Dr
Denham Springs, LA 70706-0919

Other practice location 1

1828 W Thomas St
Hammond, LA 70401-2958
Phone (985) 419-2250

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
I20241029004093 LA Practitioner - Nurse Practitioner 5092248088 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Providers for a Healthy Feliciana, Inc CurrentSince Sep 30, 2024 Accepting new patients
Primary Care Providers for a Healthy Feliciana, Inc CurrentSince Sep 30, 2024 Accepting new patients
Primary Care Providers for a Healthy Feliciana, Inc. Current Accepting new patients
HIV-AIDS Alliance for Region Two Past Accepting new patients
HIV-AIDS Alliance for Region Two Past Accepting new patients
HIV-AIDS Alliance for Region Two Past Accepting new patients

Locations

455 E Airport Ave
Baton Rouge, LA 70806
Phone (225) 570-2300

11990 Jackson St
Clinton, LA 70722
Phone (225) 570-6111

10410 Plank Rd
Clinton, LA 70722
Phone (225) 683-8877

28315 S Frost Rd
Livingston, LA 70754
Phone (225) 283-1356

54016 Highway 1062
Loranger, LA 70446
Phone (985) 606-9000

3553 Rosedale Rd
Port Allen, LA 70767
Phone (225) 234-0227

Interoperability endpoints

  • Direct secure messaging: amanda.meyer.p1@direct.rkmprimarycare.nextgenshare.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1710445432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32719 CAROL ANN DR",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707060919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28315 S FROST RD",
            "city": "LIVINGSTON",
            "state": "LA",
            "postal_code": "707542612",
            "telephone_number": "225-283-1356",
            "fax_number": "225-686-2962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1828 W Thomas St",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "LA",
            "postal_code": "704012958",
            "country_code": "US",
            "telephone_number": "985-419-2250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEYER",
        "first_name": "AMANDA",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-12",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "LA",
            "license": "203903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, LA

Sources for this page

Verify at the official NPI Registry.