Individual provider Active NPI

Amanda Babineaux Duplantis, NP

  • Family Nurse Practitioner
  • Broussard, LA
National Provider Identifier
1891153813
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP08626 Issued in LA
Practice address
811 D&E Albertson Parkway
Broussard, LA 70518
Phone
(337) 470-3560
Fax
(337) 837-2551
NPI assigned
Feb 4, 2016
Last updated
Oct 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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 AP08626 LA Primary

Addresses

Primary practice location

811 D&E Albertson Parkway
Broussard, LA 70518

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (337) 470-3560

Other practice location 1

1305 N State St
Abbeville, LA 70510-2825
Phone (337) 422-6240

Other identifiers 1

IdentifierTypeStateIssuer
AP08626OtherLASTATE LICENSE

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
I20160315000784 LA Practitioner - Nurse Practitioner 8426354606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lourdes Physician Group LLCGroup PAC ID 7214177757, 157 clinicians

Practice addresses (Care Compare)

4801 Ambassador Caffery Pkwy
Lafayette, LA 70508-6917
Phone (337) 470-2990

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lourdes Physician Group LLC Nurse Practitioner CurrentSince Mar 1, 2019 Accepting new patients

Locations

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011

109 Saint Nazaire Rd
Ste C
Broussard, LA 70518
Phone (337) 470-4700

811 Albertson Pkwy
Broussard, LA 70518
Phone (337) 384-9219

811 Albertson Pkwy
Ste D
Broussard, LA 70518

4525 Ambassador Caffery Pkwy
Lafayette, LA 70508

4600 Ambassador Caffery Pkwy
#H
Lafayette, LA 70508
Phone (337) 989-7350

4704 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 470-5920

4704 Ambassador Caffery Pkwy
Ste 301
Lafayette, LA 70508
Phone (337) 443-6870

4801 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 470-2000

Organizations & group practices 1

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": "1454544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1891153813",
    "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": "337-470-3560",
            "fax_number": "225-765-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 D&E ALBERTSON PARKWAY",
            "city": "BROUSSARD",
            "state": "LA",
            "postal_code": "70518",
            "telephone_number": "337-470-3560",
            "fax_number": "337-837-2551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1305 N State St",
            "address_purpose": "LOCATION",
            "city": "Abbeville",
            "state": "LA",
            "postal_code": "705102825",
            "country_code": "US",
            "telephone_number": "337-422-6240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUPLANTIS",
        "first_name": "AMANDA",
        "middle_name": "BABINEAUX",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-04",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP08626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "AP08626",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Broussard, LA

Sources for this page

Verify at the official NPI Registry.