Individual provider Active NPI

Ashley Cassidy Amedee, NP

  • Nurse Practitioner
  • Baton Rouge, LA
National Provider Identifier
1962719690
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP06188 Issued in LA
Practice address
7777 Hennessy Blvd Ste 7000
Baton Rouge, LA 70808-0307
Phone
(225) 765-8829
Fax
(225) 765-8283
NPI assigned
Sep 1, 2010
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP06188 LA Primary

Addresses

Primary practice location

7777 Hennessy Blvd Ste 7000
Baton Rouge, LA 70808-0307

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (225) 526-0001

Other practice location 1

8585 Picardy Ave
Baton Rouge, LA 70809-3679
Phone (822) 893-9698

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
I20101011001160 LA Practitioner - Nurse Practitioner 1355533175 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5000 Hennessy Blvd
Baton Rouge, LA 70808-4375
Phone (225) 953-7800

7777 Hennessy Blvd
Baton Rouge, LA 70808-4363

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Our Lady of the Lake Physician Group LLC Nurse Practitioner Current Accepting new patients
Convenient Care LLC Current Accepting new patients
Convenient Care LLC CurrentSince Feb 18, 2015 Accepting new patients
Our Lady of the Lake Physician Group LLC CurrentSince Apr 1, 2015 Accepting new patients
Red Stick Emergency Group LLC Nurse Practitioner CurrentSince Sep 22, 2010 Accepting new patients
Lake Urgent Care Ascension LLC CurrentSince Feb 18, 2015 Accepting new patients
Lake Urgent Care Ascension LLC CurrentSince Feb 18, 2015 Accepting new patients
Our Lady of the Lake Physician Group, LLC CurrentSince Apr 1, 2015 Accepting new patients
Lake Urgent Care Ascension LLC Current Accepting new patients
Convenient Care LLC CurrentSince Feb 18, 2015 Accepting new patients
Lake Urgent Care Ascension LLC Past Accepting new patients
Our Lady of the Lake Physician Group LLC Nurse Practitioner Past Accepting new patients

Locations

12525 Perkins Rd
#B
Baton Rouge, LA 70810
Phone (225) 819-8857

3600 Florida St
Baton Rouge, LA 70806
Phone (225) 381-2615

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

7301 Hennessy Blvd
Ste 200
Baton Rouge, LA 70808
Phone (225) 766-0050

7777 Hennessy Blvd
Ste 612
Baton Rouge, LA 70808
Phone (225) 769-5656

7777 Hennessy Blvd
Ste 7000
Baton Rouge, LA 70808
Phone (225) 765-8829

8585 Picardy Ave
Baton Rouge, LA 70809
Phone (225) 763-4000

1776 N Airline Hwy
Ste A
Gonzales, LA 70737
Phone (225) 647-4988

14350 Highway 73
Prairieville, LA 70769
Phone (225) 313-3930

40546 Highway 42
Prairieville, LA 70769
Phone (225) 744-4988

10714 Highway 431
Saint Amant, LA 70774
Phone (225) 644-0005

Interoperability endpoints

  • Direct secure messaging: acassidy114573@direct.casso.us.com

Organizations & group practices 12

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": "1283299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1962719690",
    "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": "7777 HENNESSY BLVD STE 7000",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708080307",
            "telephone_number": "225-765-8829",
            "fax_number": "225-765-8283"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8585 Picardy Ave",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708093679",
            "country_code": "US",
            "telephone_number": "822-893-9698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMEDEE",
        "first_name": "ASHLEY",
        "middle_name": "CASSIDY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-01",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP06188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.