Individual provider Active NPI

Amy Hickey, NURSE PRACTITIONER

  • Pediatric Nurse Practitioner
  • Abbeville, LA
National Provider Identifier
1790363737
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
218978 Issued in LA
Practice address
118 N Hospital Dr
Abbeville, LA 70510-4039
Phone
(337) 898-6489
NPI assigned
Mar 31, 2021
Last updated
Aug 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 207836 GA
Pediatric Nurse Practitioner 363LP0200X 218978 LA Primary

Addresses

Primary practice location

118 N Hospital Dr
Abbeville, LA 70510-4039

Mailing address

128 Muscadine Lane
Lafayette, LA 70508
Phone (404) 906-9100

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
I20210811004188 LA Practitioner - Nurse Practitioner 0345644456 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
207836GAMDPediatric Nurse Practitioner
218978LAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Abbeville General Hospital CurrentSince Jul 9, 2021 Accepting new patients
Abbeville General Hospital CurrentSince Jul 9, 2021 Accepting new patients

Locations

118 N Hospital Dr
Abbeville, LA 70510
Phone (337) 893-5466

2419 Alonzo St
Abbeville, LA 70510
Phone (337) 892-0630

220 North Rd
Erath, LA 70533
Phone (337) 364-3301

207 Milton Rd
Maurice, LA 70555
Phone (337) 898-9449

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1790363737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 MUSCADINE LANE",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70508",
            "telephone_number": "404-906-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 N HOSPITAL DR",
            "city": "ABBEVILLE",
            "state": "LA",
            "postal_code": "705104039",
            "telephone_number": "337-898-6489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKEY",
        "first_name": "AMY",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-31",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "207836",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "LA",
            "license": "218978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abbeville, LA

Sources for this page

Verify at the official NPI Registry.