Individual provider Active NPI

Amelia Hendrickson Breland, FNP-C

  • Family Nurse Practitioner
  • New Orleans, LA
National Provider Identifier
1831660877
Registry record updated Dec 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201564 Issued in LA
Practice address
2014 Magazine St
New Orleans, LA 70130-5018
Phone
(504) 529-9115
NPI assigned
Dec 17, 2018
Last updated
Dec 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2018

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 201564 LA Primary

Addresses

Primary practice location

2014 Magazine St
New Orleans, LA 70130-5018

Mailing address

2014 Magazine St
New Orleans, LA 70130-5018
Phone (504) 529-9115

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
I20190125001420 LA Practitioner - Nurse Practitioner 1759628944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1020 Saint Andrew St
New Orleans, LA 70130-5022
Phone 5045295558430

230 Ochsner Blvd
Gretna, LA 70056-5246
Phone (504) 529-5558

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Thomas Community Health Center, Inc. Current Accepting new patients
St. Thomas Community Health Center, Inc CurrentSince Dec 15, 2018 Accepting new patients
St. Thomas Community Health Center, Inc CurrentSince Dec 15, 2018 Accepting new patients
St. Thomas Community Health Center, Inc Past Accepting new patients
St. Thomas Community Health Center, Inc. Past Accepting new patients
St. Thomas Community Health Center, Inc. Past Accepting new patients

Locations

230 Ochsner Blvd
Gretna, LA 70056

1020 Saint Andrew St
New Orleans, LA 70130

1936 Magazine St
New Orleans, LA 70130

2000 Magazine St
New Orleans, LA 70130
Phone (504) 529-5888

2010 Magazine St
New Orleans, LA 70130

2014 Magazine St
New Orleans, LA 70130
Phone (504) 529-9115

2405 Jackson Ave
New Orleans, LA 70113
Phone (504) 220-1981

3221 General Degaulle Dr
New Orleans, LA 70114

3500 Holiday Dr
New Orleans, LA 70114
Phone (504) 367-5724

Organizations & group practices 6

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 1

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": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545004800000",
    "number": "1831660877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 MAGAZINE ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701305018",
            "telephone_number": "504-529-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 MAGAZINE ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701305018",
            "telephone_number": "504-529-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRELAND",
        "first_name": "AMELIA",
        "middle_name": "HENDRICKSON",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-17",
        "last_updated": "2018-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "201564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.