Individual provider Active NPI

Amy M Langston

  • Nurse Practitioner
  • Alexandria, LA
National Provider Identifier
1780214304
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
211593 Issued in LA
Practice address
1587 N Bolton Ave Ste 1100
Alexandria, LA 71303-4255
Phone
(318) 445-9823
NPI assigned
Jan 23, 2020
Last updated
Jul 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 211593 LA Primary

Addresses

Primary practice location

1587 N Bolton Ave Ste 1100
Alexandria, LA 71303-4255

Mailing address

56 Bayou Oaks Dr
Alexandria, LA 71303-8756
Phone (318) 229-8147

Other names 1

  • Amy Marie Vanantwerpen Former name

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
I20200416003024 LA Practitioner - Nurse Practitioner 2567892482 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
211593LAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Winn Community Health Center, Inc. Current Accepting new patients
Winn Community Health Center, Inc. CurrentSince Jul 31, 2023 Accepting new patients
Winn Community Health Center, Inc. Nurse Practitioner CurrentSince Jul 31, 2023 Accepting new patients
Cenla Family Medicine Associates, LLC Nurse Practitioner CurrentSince Mar 2, 2020 Accepting new patients
Winn Community Health Center, Inc. PastSince Apr 30, 2023 Accepting new patients
Winn Community Health Center, Inc. PastSince Apr 30, 2023 Accepting new patients
Winn Community Health Center, Inc. PastSince Apr 23, 2023 Accepting new patients
Winn Community Health Center, Inc. PastSince Feb 18, 2024 Accepting new patients
Winn Community Health Center, Inc. Family Past Accepting new patients
Winn Community Health Center, Inc. Past Accepting new patients
Winn Community Health Center, Inc. Past Accepting new patients
Winn Community Health Center, Inc. Past Accepting new patients
Winn Community Health Center, Inc. Family Past Accepting new patients
Winn Community Health Center, Inc. Past Accepting new patients
Winn Community Health Center, Inc. Past Accepting new patients
Winn Community Health Center, Inc. PastSince Apr 30, 2023 Accepting new patients
Winn Community Health Center, Inc. PastSince Feb 18, 2024 Accepting new patients
Winn Community Health Center, Inc. Past Accepting new patients
Winn Community Health Center, Inc. Family Past Accepting new patients
Winn Community Health Center, Inc. Past Accepting new patients

Locations (25 of 48)

122 Maryland Ave
Alexandria, LA 71301
Phone (318) 628-0088

1319 Bush Ave
Alexandria, LA 71301

1587 N Bolton Ave
Ste 1100
Alexandria, LA 71303
Phone (318) 445-9823

1951 Monroe St
Alexandria, LA 71301

2101 Vance Ave
Alexandria, LA 71301
Phone (318) 693-1303

2200 N Bolton Ave
Alexandria, LA 71303
Phone (318) 693-1311

2416 3rd St
Alexandria, LA 71302

2727 Jones Ave
Alexandria, LA 71302
Phone (318) 209-4510

2905 Horseshoe Dr
Alexandria, LA 71301
Phone (318) 545-7847

310 Richmond Dr
Alexandria, LA 71302

3100 Jones Ave
Alexandria, LA 71302

3111 Jones Ave
Alexandria, LA 71302

3348 Highway 457
Alexandria, LA 71302

4102 Wakefield Blvd
Alexandria, LA 71303

4203 Lisa St
Alexandria, LA 71302
Phone (318) 545-7845

4500 Lincoln Rd
Alexandria, LA 71302
Phone (318) 545-7843

4645 Lincoln Rd
Alexandria, LA 71302
Phone (318) 545-7844

4800 Dawn St
Alexandria, LA 71301

505 Texas Ave
Alexandria, LA 71301
Phone (318) 704-6283

5700 Prescott Rd
Alexandria, LA 71301
Phone (318) 545-7846

601 Cloverleaf Blvd
Alexandria, LA 71303
Phone (318) 442-0878

800 Ola St
Alexandria, LA 71303

4310 Pardue Rd
Ball, LA 71405
Phone (318) 545-6414

5010 Monroe Hwy
Ball, LA 71405
Phone (318) 693-1314

89 Camp Livingston Rd
Ball, LA 71405
Phone 3186480375228

Interoperability endpoints

  • Direct secure messaging: amy.langston@hca9.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/CEDCAA

Organizations & group practices 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1780214304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 BAYOU OAKS DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713038756",
            "telephone_number": "318-229-8147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1587 N BOLTON AVE STE 1100",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713034255",
            "telephone_number": "318-445-9823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGSTON",
        "first_name": "AMY",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-23",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "211593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "VANANTWERPEN",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.