AMANDA FORTUNE (NPI# 1730586991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730586991 |
| Entity Type | Individual |
| Full Name | AMANDA FORTUNE |
| Credential | CNM |
| Practice Address |
530 Duval Ave Houma LA 70364-3102 |
| Practice Telephone | 5042011900 |
| Mailing Telephone | 5042011900 |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2015-03-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WW0101X |
Registered Nurse Specialization: Women's Health Care, Ambulatory |
RN126526 | LA | Nursing Service Providers |
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
AP08064 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | LSBN | RN126526 | 01 |
| MS | 00338278 | 05 | |
| LA | LSBN | AP08064 | 01 |
| LA | 2382063 | 05 | |
| AMCB | CNM2337 | 01 |
| Street Address |
530 DUVAL AVE |
| City | HOUMA |
| State | LA |
| Zip Code | 70364-3102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922669183 | Pelican State Home and Community Services | Home Health Aide | 154 B South Hollywood Road, Houma, LA 70364 | 2019-06-27 |
| 1356708820 | Mmg Healthcare Services,llc | Home Health | 505 Holiday Dr, Houma, LA 70364 | 2016-01-28 |
| 1477894384 | Jacqueline B Spencer | Counselor | 249 T. Leigh Drive, Houma, LA 70364 | 2013-03-04 |
| 1497015622 | Compass Behavioral Center of Houma, LLC | Psychiatric Hospital | 4701 W Park Ave, Houma, LA 70364 | 2012-05-22 |
| 1629233994 | Elizabeth Billiot Cooper | Counselor | 409 Garnet St, Houma, LA 70364 | 2008-07-25 |
| 1306968524 | Septime Joseph Hymel Jr. | Optometrist | 5953 West Park Ave, Suite 2000, Houma, LA 70364 | 2007-04-06 |
| 1144348723 | The Therapy Group, LLC | Clinic/Center | 7843 Park Ave, Houma, LA 70364 | 2007-03-26 |
| 1437296142 | Keith M Lane | Dentist | 7024 Park Ave, Houma, LA 70364 | 2007-01-31 |
| 1376697706 | Janice Brownlee Naquin | Dentist | 114 Westside Blvd, Houma, LA 70364 | 2007-01-23 |
| 1093816167 | Jason Wonch Od and Associates Apc | Eyewear Supplier (Equipment, not the service) | 5953 West Park Avenue, Houma, LA 70364 | 2006-09-25 |
| Find all providers in zip 70364 | ||||
| Taxonomy Code | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346404670 | John W Megison | Obstetrics & Gynecology | 1990 Industrial Blvd, Houma, LA 70363-7055 | 2008-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245572031 | Vanessa Cloutier Thibodeaux | Obstetrics & Gynecology | 4228 Houma Blvd Ste 410a, Metairie, LA 70006 | 2013-03-20 |
| 1811236136 | Kevin Ulysse Stephens Sr. | Obstetrics & Gynecology | 1 Rosedown Ct, New Orleans, LA 70131-3313 | 2013-02-06 |
| 1184963613 | Thibodaux Regional Network Development Corporation | Obstetrics & Gynecology | 604 N Acadia Rd Ste 500, Thibodaux, LA 70301-4743 | 2013-02-04 |
| 1336381458 | Cao Care Inc | Obstetrics & Gynecology | 2924 Knight St Ste 408, Shreveport, LA 71105-2413 | 2009-04-03 |
| 1871784090 | Kristin Kymyana Green | Obstetrics & Gynecology | 5646 Read Blvd Ste 280, New Orleans, LA 70127 | 2007-08-05 |
| 1467578104 | Donald R. Parker, Md Apmc | Obstetrics & Gynecology | 4150 Nelson Rd Ste E4, Lake Charles, LA 70605-4133 | 2007-03-22 |
| 1730214214 | Catholic Charities Archdiocese of New Orleans | Obstetrics & Gynecology | 921 Aris Ave, Metairie, LA 70005-2207 | 2007-02-23 |
| 1295872992 | Alexandria Womens Center A Medical | Obstetrics & Gynecology | 3304 Masonic Drive, Suite 4001, Alexandria, LA 71301-9998 | 2007-01-31 |
| 1699812677 | Health Specialists for Women | Obstetrics & Gynecology | 10633 Doctors Boulevard, Hammond, LA 70403 | 2007-01-31 |
| 1083776868 | Michael E Graham | Obstetrics & Gynecology | 4720 S I-10 Service Road, Suite 104, Metairie, LA 70001 | 2006-12-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.