Amber Brooke Etheridge, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP10177 Issued in LA

Practice address

309 Jackson St
Monroe, LA 71201

Phone

(318) 966-1373

NPI assigned

Jul 18, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ouachita Medical Clinic LLCGroup PAC ID 6204289622, 8 clinicians

Specialty Infusion LLCGroup PAC ID 9931532116, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Glenwood Regional Medical Center Hospital, West Monroe, LA, CCN 190160

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/caldmem-57e7c173

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.

• Ouachita Medical Clinic LLC

  • Family Medicine Physician
  • West Monroe, LA
  • NPI 1508630252
  Medicare reassignment Care Compare group NPD
• Specialty Infusion LLC

  • Infusion Therapy Clinic/Center
  • Allen, TX
  • NPI 1750933230

  LA

  Medicare reassignment Care Compare group NPD
• Caldwell Memorial Hospital, Inc.

  • Emergency Medicine Physician
  • Columbia, LA
  • NPI 1023283793
  Medicare reassignment NPD
• Caldwell Memorial Hospital, Inc

  • Rural Health Clinic/Center
  • Chatham, LA
  • NPI 1114222072
  NPD
• Calcasieu Urgent Care LLC

  • Urgent Care Clinic/Center
  • Lake Charles, LA
  • NPI 1467715490
  NPD (past)
• St Francis Medical Center, Inc

  • Rehabilitation Hospital Unit
  • Monroe, LA
  • NPI 1013906239
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hsa Glenwood, LLC

  • General Acute Care Hospital
  • West Monroe, LA
  • NPI 1548083421
  Care Compare affiliation

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532649600000",
    "number": "1982180337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 JACKSON ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712017407",
            "telephone_number": "318-966-1373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 JACKSON ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "71201",
            "telephone_number": "318-966-1373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "207 Pine Cir",
            "address_purpose": "LOCATION",
            "city": "West Monroe",
            "state": "LA",
            "postal_code": "712917347",
            "country_code": "US",
            "telephone_number": "318-594-1488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ETHERIDGE",
        "first_name": "AMBER",
        "middle_name": "BROOKE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-18",
        "last_updated": "2018-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "RN141440",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP10177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydnee Eppinette
• Lauren Seegers Erwin, ANP
• Essential Family Medicine, LLC
• Crystal Esters
• Thomas Clifton Estis, PHD
• Kara Jackson Etienne, LMSW
• Eureka Investments
• April Evans
• Donna Ross Evans, MS, RDN
• Glenda Evans

• Family Nurse Practitioner in Monroe, LA
• Providers in Monroe, 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 Jul 27, 2018; 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.