Active NPI
Amy L. Miller, FNP
- Family Nurse Practitioner
- Walker, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 214909
- Practice address
- 5000 Odonavan Blvd Ste 404
Walker, LA 70785-6355 - Phone
- (225) 369-8100
- NPI assigned
- Jul 30, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 214909 | LA | Primary |
Addresses
Primary practice location
5000 Odonavan Blvd Ste 404
Walker, LA 70785-6355
Mailing address
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (225) 526-0001
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | amiller1452606@direct.casso.us.com | Direct | |
| FHIR URL | https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Other |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5408 Flanders Dr
Baton Rouge, LA 70808-9137
Phone (225) 769-5554
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Our Lady of the Lake Physician Group LLC | Nurse Practitioner | Current | Accepting new patients |
| Spine Diagnostic Center of Baton Rouge, Inc a Professional Medical Cor | Current | Accepting new patients | |
| Neuromedical Center | Past | Accepting new patients | |
| Immi, LLC | Past | Accepting new patients |
Locations
5408 Flanders Dr
Baton Rouge, LA 70808
Phone (225) 769-5554
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011
5000 Odonavan Blvd
Ste 507
Walker, LA 70785
Phone (225) 214-3199
5000 Odonavan Blvd
Walker, LA 70785
Phone (225) 214-4200
5000 Odonavan Blvd
Ste 404
Walker, LA 70785
Phone (225) 369-8100
Interoperability endpoints
- amiller1452606@direct.casso.us.com
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.
-
- Specialist
- Baton Rouge, LA
- NPI 1790712214
-
- Internal Medicine Physician
- Baton Rouge, LA
- NPI 1033494943
Nurse Practitioner
-
- Primary Care Clinic/Center
- Baton Rouge, LA
- NPI 1902549637
-
- Specialist
- Baton Rouge, LA
- NPI 1740216399
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617753600000",
"number": "1851900385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5959 S SHERWOOD FOREST BLVD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708166038",
"telephone_number": "225-526-0001",
"fax_number": "225-765-9196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 ODONAVAN BLVD STE 404",
"city": "WALKER",
"state": "LA",
"postal_code": "707856355",
"telephone_number": "225-369-8100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "AMY",
"middle_name": "L.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-30",
"last_updated": "2021-04-07",
"certification_date": "2021-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "214909",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "amiller1452606@direct.casso.us.com",
"affiliation": "N",
"endpointDescription": "FMOLHS-Epic",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "amiller1452606@direct.casso.us.com",
"address_1": "5000 Odonavan Blvd Ste 404",
"city": "Walker",
"state": "LA",
"country_code": "US",
"postal_code": "707856355",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "FMOLHS FHIR URL",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "5000 Odonavan Blvd Ste 404",
"city": "Walker",
"state": "LA",
"country_code": "US",
"postal_code": "707856355",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Walker, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.