Individual provider Active NPI

Amanda Andre, FNP

  • Family Nurse Practitioner
  • Lafayette, LA
National Provider Identifier
1992226013
Registry record updated Aug 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP09429 Issued in LA
Practice address
2390 W. Congress Street
Lafayette, LA 70506
Phone
(337) 261-6759
Fax
(337) 261-6795
NPI assigned
Jun 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP09429 LA Primary

Addresses

Primary practice location

2390 W. Congress Street
Lafayette, LA 70506

Mailing address

2390 W. Congress Street
Lafayette, LA 70506
Phone (337) 261-6759

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
I20170830002519 LA Practitioner - Nurse Practitioner 8123391984 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Acadiana Radiation Therapy LLC CurrentSince Jan 24, 2022 Accepting new patients
University Hospital & Clinics, Inc. CurrentSince Jul 10, 2017 Accepting new patients
University Hospital & Clinics Inc CurrentSince Jul 10, 2017 Accepting new patients
E Plus Oncologics Louisiana LLC CurrentSince Jan 24, 2022 Accepting new patients
Radiation Oncology Associates of Acadiana, LLP CurrentSince Sep 1, 2022 Accepting new patients
Oncologics, Inc. PastSince Sep 1, 2022 Accepting new patients

Locations

4809 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 981-2949

4809 Ambassador Caffery Pkwy
Ste 100
Lafayette, LA 70508
Phone (318) 237-2057

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

155 Hospital Dr
Ste 102
Lafayette, LA 70503
Phone (337) 289-8067

525 N Lewis St
New Iberia, LA 70563
Phone (337) 364-1131

3975 I 49 S Service Rd
Ste 106
Opelousas, LA 70570
Phone (337) 942-7609

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1992226013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2390 W. CONGRESS STREET",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70506",
            "telephone_number": "337-261-6759",
            "fax_number": "337-261-6795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2390 W. CONGRESS STREET",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70506",
            "telephone_number": "337-261-6759",
            "fax_number": "337-261-6795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRE",
        "first_name": "AMANDA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-28",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP09429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.