Individual provider Active NPI

Amanda Kaye Dugas, APRN

  • Family Nurse Practitioner
  • New Iberia, LA
National Provider Identifier
1841696960
Registry record updated May 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP07959 Issued in LA
Practice address
500 N Lewis St
Ste. 100
New Iberia, LA 70563-2046
Phone
(337) 367-5200
Fax
(337) 369-3074
NPI assigned
Nov 17, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2016

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 AP07959 LA Primary

Addresses

Primary practice location

500 N Lewis St
Ste. 100
New Iberia, LA 70563-2046

Mailing address

P.O. Box 4176
Houma, LA 70361-4176
Phone (985) 872-5864

Other identifiers 1

IdentifierTypeStateIssuer
2381164MedicaidLA

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
I20141230000326 LA Practitioner - Nurse Practitioner 7113240011 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coolidge Physician Services LLC CurrentSince Dec 11, 2016 Accepting new patients
LTAC of Louisiana, LLC CurrentSince Oct 1, 2021 Accepting new patients
Main Street Physician Services LLC CurrentSince Nov 24, 2014 Accepting new patients
Main Street Emergency Group LLC CurrentSince Feb 22, 2016 Accepting new patients

Locations

4811 Ambassador Caffery Pkwy
Fl 4
Lafayette, LA 70508
Phone (305) 322-5100

1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191

2315 E Main St
Fl 3
New Iberia, LA 70560
Phone (337) 369-1100

2315 E Main St
New Iberia, LA 70560
Phone (337) 364-0441

600 N Lewis St
New Iberia, LA 70563
Phone (337) 365-7311

Interoperability endpoints

  • Direct secure messaging: adugas1443548@direct.ochsner.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464220800000",
    "number": "1841696960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 4176",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703614176",
            "telephone_number": "985-872-5864",
            "fax_number": "985-872-0317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N LEWIS ST",
            "address_2": "STE. 100",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705632046",
            "telephone_number": "337-367-5200",
            "fax_number": "337-369-3074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGAS",
        "first_name": "AMANDA",
        "middle_name": "KAYE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-17",
        "last_updated": "2016-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP07959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2381164",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Iberia, LA

Sources for this page

Verify at the official NPI Registry.