Amanda Fortune, CNM

Primary specialty

Obstetrics PhysicianTaxonomy code 207VX0000X

License

AP08064 Issued in LA

Practice address

530 Duval Ave
Houma, LA 70364-3102

Phone

(504) 201-1900

NPI assigned

Dec 3, 2014

Last updated

Mar 4, 2015By 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 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Certified Nurse Midwife

State licenses

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

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425427200000",
    "number": "1730586991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 DUVAL AVE",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703643102",
            "telephone_number": "504-201-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 DUVAL AVE",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703643102",
            "telephone_number": "504-201-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTUNE",
        "first_name": "AMANDA",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-03",
        "last_updated": "2015-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0101X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": "LA",
            "license": "RN126526",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "LA",
            "license": "AP08064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00338278",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2382063",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMCB",
            "identifier": "CNM2337",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LSBN",
            "identifier": "RN126526",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LSBN",
            "identifier": "AP08064",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edison James Foret, M.D.
• Jude Julien Foret, CRNA
• Julie Foret, BSN RN
• Scott Foret
• Sharlin Forte
• Vivian Marie Fountain, O.D.
• Cynthia C Fox, MD
• Bridgete Louise Francis
• Stephan Zelas Francis, M.D.
• Johnny A Franck, DDS

• Obstetrics Physician in Houma, LA
• Providers in Houma, LA by specialty
• Obstetrics Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.