Individual provider Active NPI

Amanda Jean Ragland, APRN

  • Family Nurse Practitioner
  • Bradley, AR
National Provider Identifier
1902378334
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A005787 Issued in AR
Practice address
409 Woodruff St
Bradley, AR 71826-8715
Phone
(870) 894-3366
NPI assigned
Dec 25, 2018
Last updated
May 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2021

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 A005787 AR Primary

Addresses

Primary practice location

409 Woodruff St
Bradley, AR 71826-8715

Mailing address

2017 Columbia Road 15
Magnolia, AR 71753-8620
Phone (479) 763-8454

Other identifiers 1

IdentifierTypeStateIssuer
231430758MedicaidAR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amanda.ragland@smcdc.eclinicaldirectplus.com Direct

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
I20210324000963 LA Practitioner - Nurse Practitioner 5597003368 Reassigns benefits to 3 organizations

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
Hulin Urgent Care Services LLCGroup PAC ID 6800051285, 135 clinicians
Coastal Urgent Care, LLCGroup PAC ID 8729138896, 50 clinicians

Practice addresses (Care Compare)

1110 E Saint Peter St
New Iberia, LA 70560-3932
Phone (337) 364-1166

9808 Bluebonnet Blvd
Baton Rouge, LA 70810-6442
Phone (225) 224-8121

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Springhill Medical Services, Inc. CurrentSince Dec 4, 2020 Accepting new patients
Coastal Urgent Care, LLC CurrentSince May 15, 2023 Accepting new patients
Hulin Urgent Care Services LLC CurrentSince May 15, 2023 Accepting new patients
Hulin Urgent Care Services LLC CurrentSince May 15, 2023 Accepting new patients

Locations (25 of 35)

6420 Groom Rd
Baker, LA 70714
Phone (225) 412-2781

2100 E Madison Ave
Bastrop, LA 71220
Phone (318) 239-4413

9808 Bluebonnet Blvd
Baton Rouge, LA 70810
Phone (225) 224-8121

8021 E Texas St
Bossier City, LA 71111
Phone (225) 706-3033

8440 W Judge Perez Dr
Chalmette, LA 70043
Phone (504) 596-9520

1970 W Laurel Ave
Eunice, LA 70535
Phone (337) 465-2159

965 Sterlington Hwy
Farmerville, LA 71241
Phone (318) 608-4681

1124 S Burnside Ave
Ste 100A
Gonzales, LA 70737
Phone (225) 644-5503

203 Westgate Rd
Lafayette, LA 70506
Phone (337) 223-8401

3217 Johnston St
Lafayette, LA 70503
Phone (337) 364-1166

600 Jefferson St
Ste 600
Lafayette, LA 70501
Phone (337) 202-0720

6770 Johnston St
#B
Lafayette, LA 70503
Phone (337) 326-5702

6770 Johnston St
Ste B
Lafayette, LA 70503
Phone (337) 326-5702

3829 Ryan St
Ste 300
Lake Charles, LA 70605
Phone (337) 399-0001

160 San Antonio Ave
Many, LA 71449
Phone (318) 353-3412

863 Tunica Dr E
Marksville, LA 71351
Phone (318) 717-1175

3013 Veterans Memorial Dr
Ste 101
Meaux, LA 70510
Phone (337) 385-5008

1034 Homer Rd
Minden, LA 71055
Phone (318) 639-4664

4015 Sterlington Rd
Monroe, LA 71203
Phone (318) 543-0106

1050 E Admiral Doyle Dr
Ste A
New Iberia, LA 70560
Phone (337) 376-0515

1110 E Saint Peter St
New Iberia, LA 70560
Phone (337) 364-1166

300 Hospital Rd
New Roads, LA 70760
Phone (225) 310-6501

1902 Highway 165 S
Oakdale, LA 71463
Phone (318) 215-7806

58330 Belleview Rd
Plaquemine, LA 70764
Phone (225) 320-0703

1316 The Blvd
Rayne, LA 70578
Phone (337) 399-0067

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1545696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1902378334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 COLUMBIA ROAD 15",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717538620",
            "telephone_number": "479-763-8454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 WOODRUFF ST",
            "city": "BRADLEY",
            "state": "AR",
            "postal_code": "718268715",
            "telephone_number": "870-894-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGLAND",
        "first_name": "AMANDA",
        "middle_name": "JEAN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-25",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A005787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "231430758",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amanda.ragland@smcdc.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "one direct address for all providers goes to facility",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "409 Woodruff St",
            "city": "Bradley",
            "state": "AR",
            "country_code": "US",
            "postal_code": "718268715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bradley, AR

Sources for this page

Verify at the official NPI Registry.