AMANDA MITSCH THERIOT FNP-BC NPI 1750691812

NPI Information

NPI: 1750691812
Provider Name: AMANDA MITSCH THERIOT, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: VINCENT EMERGENCY GROUP, LLC

PECOS Registration: Yes

Address:
2000 CANAL ST
NEW ORLEANS, LA
ZIP 70112
Phone: (504) 655-3151
Get Directions

Amanda Mitsch Theriot, FNP-BC is a family nurse practitioner in New Orleans, LA with 14 years of experience. Amanda Mitsch Theriot, FNP-BC NPI is 1750691812. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2000 CANAL ST
NEW ORLEANS, LA
ZIP 70112-018
Phone: (504) 655-3151

The NPI 1750691812 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/7/2010 and was last updated on 1/3/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	RN110773-AP06182	LOUISIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	60110206	OTHER	LOUISIANA	LACARE MEDICAID PROVIDER NUMBER
2	2187601	MEDICAID	LOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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