MENOPAUSE & HORMONE SPECIALTY CENTER, LLC (NPI# 1316230394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316230394 |
| Entity Type | Organization |
| Organization Name | MENOPAUSE & HORMONE SPECIALTY CENTER, LLC |
| Practice Address |
7591 Fern Ave Suite #1501 Shreveport LA 71105-5750 |
| Practice Telephone | 3185248032 |
| Practice Fax Number | 3185248033 |
| Mailing Telephone | 3185248032 |
| Mailing Fax Number | 3185248033 |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2013-01-03 |
| Authorized Official Name | TAMMI K HERKEY (OWNER) |
| Authorized Official Telephone | 3182881327 |
| Authorized Official Credential | WHNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
AP03544 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1567183 | 05 |
| Street Address |
7591 FERN AVE SUITE #1501 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71105-5750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407851744 | Premier Marketing Associates Ltd Partnership | Durable Medical Equipment & Medical Supplies | 7591 Fern Ave, Ste. 1301, Shreveport, LA 71105-5750 | 2005-06-14 |
| 1205255999 | Bates Chiropractic & Sports Therapy, LLC | Chiropractor | 7591 Fern Ave, 1502, Shreveport, LA 71105-5750 | 2014-04-10 |
| 1528400959 | Megan L Colvin | Physician Assistant | 7591 Fern Ave, Suite 1705, Shreveport, LA 71105-5750 | 2013-07-26 |
| 1942457940 | Elite Health Solutions LLC | Clinic/Center | 7591 Fern Ave, Ste. 1602, Shreveport, LA 71105-5750 | 2008-08-20 |
| 1942245600 | Tammi Herkey | Nurse Practitioner | 7591 Fern Ave, Suite 1501, Shreveport, LA 71105-5750 | 2006-06-18 |
| 1447242482 | Ark-la-tex Home Health Inc. | Home Health | 7591 Fern Ave, Ste 1503, Shreveport, LA 71105-5748 | 2005-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699245928 | Misty Johnetta Ross | Counselor | 2942 Knight St., Bldg. 4 Suite 426, Shreveport, LA 71105 | 2018-11-29 |
| 1205301868 | Tatjhana Maury | Case Manager/Care Coordinator | 3325 Youree Drive, Shreveport, LA 71105 | 2018-10-10 |
| 1245710920 | Jefferey Douglas Adair Md | Non-Pharmacy Dispensing Site | 8860 Fern Ave., Suite 120, Shreveport, LA 71105 | 2018-08-21 |
| 1679059539 | Michael E Woolbert Dds LLC | Dentist | 7600 Fern Avenue, Building 1100, Shreveport, LA 71105 | 2018-07-13 |
| 1881195675 | Adiba Bibi | Pharmacist | 3555 Greenwood Road, Walgreens, Shreveport, LA 71105 | 2018-02-27 |
| 1740796655 | Allison Borel | Counselor | 2020 E 70th St Ste 201, Shreveport, LA 71105 | 2017-12-15 |
| 1073028148 | Valerie Wooten Barcelona | Physical Therapist | 130 Kayla Street, Shreveport, LA 71105 | 2017-12-11 |
| 1710497615 | Jimmy Carroll | Counselor | 2960 Knight St, Suite 110, Shreveport, LA 71105 | 2017-10-05 |
| 1932618444 | David Louis Bennett | Counselor | 3007 Knight St., Suite 200, Shreveport, LA 71105 | 2017-09-27 |
| 1619496452 | Shaqwana Hodge | Counselor | 2920 Knight St. Suite 110, Shreveport, LA 71105 | 2017-09-13 |
| Find all providers in zip 71105 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093349078 | Alysha Hinson | Nurse Practitioner | 1455 E Bert Kouns Industrial Loop Ste 306, Shreveport, LA 71105-5634 | 2020-02-27 |
| 1356759153 | Mary Tillman Acosta | Nurse Practitioner | 8001 Youree Dr Ste 320, Shreveport, LA 71115-2354 | 2014-07-24 |
| 1265725402 | Katherine Maranto Salley | Nurse Practitioner | 827 Margaret Pl, Suite 201, Shreveport, LA 71101-4523 | 2011-05-20 |
| 1811030018 | Rosalyn J Ferriss | Nurse Practitioner | 1035 Creswell Ave, Shreveport, LA 71101-3917 | 2007-02-15 |
| 1003900564 | Tamara J Trainer | Nurse Practitioner | 1525 Fairfield Room 551, Dhh-office of Public Health, Shreveport, LA 71101 | 2006-10-02 |
| 1851991947 | Gina Marie Kristiansen | Nurse Practitioner | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2020-10-28 |
| 1447805742 | Emily Green | Nurse Practitioner | 2120 Bert Kouns Industrial Loop Ste A, Shreveport, LA 71118-3351 | 2019-08-05 |
| 1245885540 | Kayla Marie Bryant | Nurse Practitioner | 2401 Greenwood Rd, Shreveport, LA 71103-4010 | 2019-08-05 |
| 1073049995 | Holly Johnson | Nurse Practitioner | 8001 Youree Dr, Suite 600, Shreveport, LA 71115-2302 | 2017-05-11 |
| 1801336706 | Dia M. Johnson | Nurse Practitioner | 1525 Fairfield Ave Ste 569, Shreveport, LA 71101-4331 | 2017-02-27 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71105 |
Please comment or provide details below to improve the information on MENOPAUSE & HORMONE SPECIALTY CENTER, LLC.
| 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.