Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Amanda Vice Haynie, MD

Individual provider Pediatrics Physician · NPI 1619311438

Mrs. Amanda Vice Haynie, MD is a Pediatrics Physician in Shreveport, Louisiana. Licensed in Louisiana and Oklahoma. Registered with an NPI since 2013.

Licensed in
LA, OK
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2225 Line Avenue Mid City Pediatrics
Shreveport, LA 71104
Phone: (318) 221-2225
Fax: (318) 459-2955
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 301709 (LA)
Pediatrics Physician Taxonomy 208000000X · Licence 29920 (OK)

Record details

NPI number1619311438
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 23, 2013
Last updated in NPPESMay 18, 2016

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