Amy Matherne, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD.207327 Issued in LA

Practice address

6517 Spanish Fort Blvd
New Orleans, LA 70124-4321

Phone

(504) 554-2168

NPI assigned

Dec 9, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Amy Fakier Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Keith J. Capone, MD, LLC

  • Pediatrics Physician
  • New Orleans, LA
  • NPI 1376949768
  NPD (past)

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

{
    "created_epoch": "1418083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1962800821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6517 SPANISH FORT BLVD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70124",
            "telephone_number": "504-283-7306",
            "fax_number": "504-283-7308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6517 SPANISH FORT BLVD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701244321",
            "telephone_number": "504-554-2168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHERNE",
        "first_name": "AMY",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-09",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "MD.207327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "FAKIER",
            "prefix": "MRS.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jasmine Nicole Mastin
• Kirsti Mastroianni
• Amber Mata
• Aaliyah Mateen
• George G Matewere, MD
• Madison Noel Matherne
• Monique Maria Matherne, PH.D.
• Alen Mathew, MD
• Reuben Thomas Mathew, MD
• Alissa M. Mathews, RD

• Pediatrics Physician in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Pediatrics Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.