Amber Tullis Deloach, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

234052 Issued in LA

Practice address

3076 Old Marksville Hwy
Pineville, LA 71360-6202

Phone

(318) 447-4882

NPI assigned

Mar 4, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Louisiana Department of Health - Office of Public HealthGroup PAC ID 5890700694, 31 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Louisiana Department of Health - Office of Public Health

  dba Child Spec Health Services

  • Public Health or Welfare Agency
  • New Orleans, LA
  • NPI 1144372343
  Medicare reassignment Care Compare group NPD
• NRMC Physician Ipa Inc

  dba NRMC General Surgery Associates

  • Surgery Physician
  • Natchitoches, LA
  • NPI 1497283733
  Medicare reassignment NPD
• Louisiana Department of Health - Office of Public Health

  • Public Health or Welfare Agency
  • New Orleans, LA
  • NPI 1073689667
  NPD
• Louisiana Department of Health - Office of Public Health

  dba Office of Public Health

  • Public Health or Welfare Agency
  • Baton Rouge, LA
  • NPI 1396316212
  NPD
• NRMC Physician Ipa Inc

  dba NRMC Cancer Associates

  • Radiation Oncology Physician
  • Natchitoches, LA
  • NPI 1003484114
  NPD
• NRMC Physician Ipa Inc

  dba NRMC Pain Institute

  • Counseling Psychologist
  • Natchitoches, LA
  • NPI 1154829141
  NPD

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

{
    "created_epoch": "1646352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1770230377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3076 OLD MARKSVILLE HWY",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713606202",
            "telephone_number": "318-447-4882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3076 OLD MARKSVILLE HWY",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713606202",
            "telephone_number": "318-447-4882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELOACH",
        "first_name": "AMBER",
        "middle_name": "TULLIS",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-04",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "234052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georena Dearborne Bynog, MSW, LCSW
• Qurshea Decoste
• William Jackson Defee III, M.D.
• Daphne Del Valle, MD
• Delavallade House of Pineville, LLC
• Whitney Risner Deloach, FNP-C
• Dental Sleep Medicine Associates, LLC
• Stephanie Faye Denux, LCSW
• Depart. Health and Hospitals (Red River Medically Supported Detox)
• Department of Health and Hospitals (Behavioral Health Clinic of Central La (AD))

• Nurse Practitioner in Pineville, LA
• Providers in Pineville, LA by specialty
• Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; 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.