Amanda Richard Goldberg, MN, APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP08005 Issued in LA

Practice address

148 Wall Blvd
Gretna, LA 70056-7107

Phone

(504) 393-2273

Fax

(504) 393-2744

NPI assigned

Nov 4, 2014

Last updated

May 9, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Amanda Ruth Richard Former name

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

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr Douglas Mehaffie MD LLCGroup PAC ID 7012048697, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Dr Douglas Mehaffie MD LLC

  dba The Urgent Care

  • Urgent Care Clinic/Center
  • Gretna, LA
  • NPI 1669409199
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462752000000",
    "number": "1952706897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 WALL BLVD",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700567107",
            "telephone_number": "504-393-2273",
            "fax_number": "504-393-2744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 WALL BLVD",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700567107",
            "telephone_number": "504-393-2273",
            "fax_number": "504-393-2744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "AMANDA",
        "middle_name": "RICHARD",
        "name_prefix": "Mrs.",
        "credential": "MN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-04",
        "last_updated": "2016-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP08005",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "RN123165",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "RICHARD",
            "middle_name": "RUTH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tammie V Gibson, DC
• Kassie Marie Gill, DNP, APRN, FNP-C
• Geoffrey Gillen, M.D.
• Denise Antwainette Gilstrap, LPC, NCC
• Janice S Glenn, M.D.
• Kia Renee Golden, FNP
• Jarett Gongora
• Stephen Goodwin, MD
• Portia Gordon
• Graffiti Medical Transportation LLC

• Family Nurse Practitioner in Gretna, LA
• Providers in Gretna, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; 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.

Verify at the official NPI Registry.