Individual provider Active NPI

Augusta Chika Anyama

  • Psychiatric/Mental Health Nurse Practitioner
  • Lafayette, LA
National Provider Identifier
1972126001
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
215584 Issued in LA
Practice address
1921 Dulles Dr
Lafayette, LA 70506-2716
Phone
(337) 223-9487
Fax
(888) 511-5650
NPI assigned
May 23, 2020
Last updated
Jan 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 215584 LA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 145787 TX

Addresses

Primary practice location

1921 Dulles Dr
Lafayette, LA 70506-2716

Mailing address

1921 Dulles Dr
Lafayette, LA 70506-2716
Phone (337) 223-9487

Other identifiers 1

IdentifierTypeStateIssuer
2543512MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20220111000802 TX Practitioner - Nurse Practitioner 7810906765 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Starbranch Psychiatry AssociatesGroup PAC ID 9931264348, 4 clinicians

Practice addresses (Care Compare)

2600 N Gessner Dr
Suite 280
Houston, TX 77080-3898
Phone (713) 468-6538

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
215584LAMDPsychiatric/Mental Health Nurse Practitioner
145787TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Behavioral of Texas PA CurrentSince Jan 23, 2025 Accepting new patients
Aangels Quality Health Services, LLC CurrentSince Jun 18, 2024 Accepting new patients
Starbranch Psychiatry Associates CurrentSince Jun 1, 2023 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jul 19, 2024 Accepting new patients
Piney Shores Psychiatry PLLC Psychiatric/Mental Health Current Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

22 Prestige Cir
Ste 200
Allen, TX 75002
Phone (214) 383-3200

2600 Gessner Rd
Ste 280
Houston, TX 77080
Phone (713) 468-6538

550 Westcott St
Ste 520
Houston, TX 77007
Phone (713) 864-6694

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 5

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": "1590192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1972126001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 DULLES DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705062716",
            "telephone_number": "337-223-9487",
            "fax_number": "888-511-5650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 DULLES DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705062716",
            "telephone_number": "337-223-9487",
            "fax_number": "888-511-5650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANYAMA",
        "first_name": "AUGUSTA",
        "middle_name": "CHIKA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-23",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "215584",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "145787",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2543512",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.