Individual provider Active NPI

Amber Thrash Creel, FNP-BC

  • Family Nurse Practitioner
  • Franklinton, LA
National Provider Identifier
1760859896
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP08499 Issued in LA
Practice address
51704 Highway 438
Franklinton, LA 70438-7488
Phone
(985) 848-9955
Fax
(985) 848-9964
NPI assigned
Aug 24, 2015
Last updated
Jun 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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 AP08499 LA Primary

Addresses

Primary practice location

51704 Highway 438
Franklinton, LA 70438-7488

Mailing address

1900 Main St
Franklinton, LA 70438-3688
Phone (985) 848-9955

Other identifiers 1

IdentifierTypeStateIssuer
2406591MedicaidLA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ambercreel@riversidemedical.cernerdirect.com Direct Riverside Medical Center

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
I20151112000258 LA Practitioner - Nurse Practitioner 1355651977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kentwood Family Clinic LLCGroup PAC ID 4082923099, 4 clinicians

Practice addresses (Care Compare)

919 Ave G
Kentwood, LA 70444

919 Ave G
Kentwood, LA 70444-2636
Phone (985) 229-0202

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP08499LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Medical Center Current Accepting new patients
Riverside Medical Center Current Accepting new patients

Locations

51704 Highway 438
Franklinton, LA 70438
Phone (985) 730-6700

806 Riverside Dr
Ste B
Franklinton, LA 70438
Phone (985) 795-4134

809 Riverside Dr
Franklinton, LA 70438
Phone (985) 795-4208

1900 Main St
Sheridan, LA 70438
Phone (985) 839-4431

Interoperability endpoints

  • Direct secure messaging: ambercreel@riversidemedical.cernerdirect.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1440374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1760859896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 MAIN ST",
            "city": "FRANKLINTON",
            "state": "LA",
            "postal_code": "704383688",
            "telephone_number": "985-848-9955",
            "fax_number": "985-848-9964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51704 HIGHWAY 438",
            "city": "FRANKLINTON",
            "state": "LA",
            "postal_code": "704387488",
            "telephone_number": "985-848-9955",
            "fax_number": "985-848-9964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREEL",
        "first_name": "AMBER",
        "middle_name": "THRASH",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-24",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP08499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2406591",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ambercreel@riversidemedical.cernerdirect.com",
            "affiliation": "Y",
            "endpointDescription": "Cerner",
            "affiliationName": "Riverside Medical Center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EHR",
            "address_1": "51704 Highway 438",
            "city": "Franklinton",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704387488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Franklinton, LA

Sources for this page

Verify at the official NPI Registry.