Amelia Hendrickson Breland, FNP-C

Individual provider Active NPI Family Nurse Practitioner · New Orleans, LA

NPI 1831660877 · NPPES record last updated Dec 17, 2018

Key facts

NPI
1831660877
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
201564 (LA)
Practice address
2014 Magazine St
New Orleans, LA 70130-5018
Phone
(504) 529-9115
NPI assigned
Dec 17, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 11

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Thomas Community Health Center Inc (40 clinicians)

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

  • West Jefferson Medical Center Hospital · Marrero, LA · CCN 190039

Medicare participation

Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20190125001420 LA Practitioner - Nurse Practitioner 1759628944 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

Practice roles

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

Locations

230 Ochsner Blvd
Gretna, LA 70056

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

2010 Magazine St
New Orleans, LA 70130

1936 Magazine St
New Orleans, LA 70130

3221 General Degaulle Dr
New Orleans, LA 70114

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

1020 Saint Andrew St
New Orleans, LA 70130

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

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201564 LA Yes

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

Other providers in New Orleans, LA

All providers in New Orleans, LA · Family Nurse Practitioner in Louisiana

Sources for this page

Verify at the official NPI Registry.