Amanda Mitsch Theriot, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP06182 Issued in LA

Practice address

2000 Canal St
New Orleans, LA 70112-3018

Phone

(504) 655-3151

NPI assigned

Oct 7, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in LA, MS2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vincent Emergency Group, LLCGroup PAC ID 0840621926, 43 clinicians

Luling Emergency Group LLCGroup PAC ID 8325352636, 21 clinicians

Hancock Emergency Group LLCGroup PAC ID 8022237015, 28 clinicians

Belle Chasse Emergency Group LLCGroup PAC ID 7113140070, 95 clinicians

Kenner Emergency Group LLCGroup PAC ID 8426011230, 52 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ochsner Medical Center Acute Hospital, New Orleans, LA, CCN 190036

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: atheriot558482@direct.ochsner.org

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.

• Belle Chasse Emergency Group LLC

  • Emergency Medicine Physician
  • New Orleans, LA
  • NPI 1851714075

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Kenner Emergency Group LLC

  • Emergency Medicine Physician
  • Kenner, LA
  • NPI 1013986546

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Luling Emergency Group LLC

  • Emergency Medicine Physician
  • Luling, LA
  • NPI 1528446101

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Hancock Emergency Group LLC

  • Emergency Medicine Physician
  • Bay St Louis, MS
  • NPI 1295142396

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Vincent Emergency Group, LLC

  • Emergency Medicine Physician
  • Lufkin, TX
  • NPI 1740816917

  LA, Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Coolidge Emergency Group LLC

  • Emergency Medicine Physician
  • Lafayette, LA
  • NPI 1801140934

  Nurse Practitioner

  Medicare reassignment NPD
• Louisiana State University School of Medicine in New Orleans Faculty

  dba LSU ED Billing

  • Emergency Medicine Physician
  • New Orleans, LA
  • NPI 1275984973
  Medicare reassignment NPD
• Mayfair Emergency Group, LLC

  • Emergency Medicine Physician
  • Baton Rouge, LA
  • NPI 1750870226

  Nurse Practitioner

  Medicare reassignment NPD
• Ochsner Clinic LLC

  • General Practice Physician
  • New Orleans, LA
  • NPI 1538151428
  Medicare reassignment NPD
• St Mary Emergency Group LLC

  • Emergency Medicine Physician
  • Morgan City, LA
  • NPI 1235108499

  Nurse Practitioner

  Medicare reassignment NPD
• St. Bernard Emergency Group, LLC

  • Emergency Medicine Physician
  • Chalmette, LA
  • NPI 1306386685

  Nurse Practitioner

  Medicare reassignment NPD
• St. John Emergency Group LLC

  • Emergency Medicine Physician
  • La Place, LA
  • NPI 1265401509

  Nurse Practitioner

  Medicare reassignment NPD

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

• Ochsner Clinic Foundation

  dba Ochsner Medical Center Acute

  • General Acute Care Hospital
  • New Orleans, LA
  • NPI 1811973100
  Care Compare affiliation

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

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1750691812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 CANAL ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701123018",
            "telephone_number": "504-655-3151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 CANAL ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701123018",
            "telephone_number": "504-655-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THERIOT",
        "first_name": "AMANDA",
        "middle_name": "MITSCH",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-07",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "RN110773-AP06182",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "904786",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP06182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2187601",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LACARE MEDICAID PROVIDER NUMBER",
            "identifier": "60110206",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Therapy Concepts, LLC.
• Theratique
• Therese' Transportation
• Aaron Michael Theriot, D.C.
• Amanda Theriot, MS, CCTP
• Danielle Elizabeth Theriot
• Hannah Gabrielle Theriot
• Paul Theriot, D.C.
• Shavon Marla Ann Theriot, PT, DPT, CEEAA
• Ty Thomas Theriot, MD

• Family Nurse Practitioner in New Orleans, LA
• Providers in New Orleans, 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 4, 2023; 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.