BRFHH SHREVEPORT LLC (NPI# 1457733198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457733198 |
| Entity Type | Organization |
| Organization Name | BRFHH SHREVEPORT LLC |
| Other Organization Name | UNIVERSITY HEALTH SHREVEPORT |
| Practice Address |
1541 Kings Highway Shreveport LA 71103-4228 |
| Practice Telephone | 3186757636 |
| Practice Fax Number | 3186757531 |
| Mailing Telephone | 3186757636 |
| Mailing Fax Number | 3186757531 |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2017-08-24 |
| Authorized Official Name | MR. VERNON MOORE (CFO) |
| Authorized Official Telephone | 3186754864 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| UNIVERSITY HEALTH SHREVEPORT | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588036552 | Brfhh Shreveport LLC | Pharmacy | 1541 Kings Hwy Rm Eg-10, Shreveport, LA 71103-4228 | 2015-10-29 |
| 1912909912 | Brfhh Shreveport LLC | General Acute Care Hospital | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2005-08-10 |
| 1699156711 | Brfhh Shreveport LLC | Nurse Anesthetist, Certified Registered | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2015-06-15 |
| 1780018838 | Brfhh Shreveport LLC | Psychiatric Unit | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2013-08-26 |
| 1821192162 | Brfhh Shreveport LLC | Psychiatric Unit | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2006-09-08 |
| Street Address |
1541 KINGS HIGHWAY |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71103-4228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770136756 | Syeda Afzal | Student in an Organized Health Care Education/Training Program | 1541 Kings Highway, Pediatrics, Shreveport, LA 71130-3932 | 2019-07-19 |
| 1487207585 | Rami Wasfi Al Khoury | Student in an Organized Health Care Education/Training Program | 1541 Kings Highway, Internal Medicine, Shreveport, LA 71130-3932 | 2019-07-18 |
| 1265994032 | Marshall J. Byun-andersen | Student in an Organized Health Care Education/Training Program | 1541 Kings Highway, Family Medicine, Shreveport, LA 71130-3932 | 2019-04-02 |
| 1750843710 | Megumi D. Boone | Student in an Organized Health Care Education/Training Program | 1541 Kings Highway, Family Medicine, Shreveport, LA 71130-3932 | 2019-04-01 |
| 1265994222 | Austin Trevor Williams | Student in an Organized Health Care Education/Training Program | 1541 Kings Highway, Family Medicine, Shreveport, LA 71130-3932 | 2019-04-01 |
| 1407318470 | Thomas Gene Caligiuri Jr. | Student in an Organized Health Care Education/Training Program | 1541 Kings Highway, Internal Medicine, Shreveport, LA 71130-3932 | 2019-04-01 |
| 1679034870 | Kasi M. Addison | Student in an Organized Health Care Education/Training Program | 1541 Kings Highway, Emergency Medicine, Shreveport, LA 71130-3932 | 2019-03-29 |
| 1760943963 | David Ralph Janese | Student in an Organized Health Care Education/Training Program | 1541 Kings Highway, Family Medicine, Shreveport, LA 71130-3932 | 2019-03-29 |
| 1174084396 | Jessica Evans Mckenzie | Student in an Organized Health Care Education/Training Program | 1541 Kings Highway, Family Medicine, Shreveport, LA 71130-3932 | 2019-03-29 |
| 1528529716 | Sasha A. Ridgell | Student in an Organized Health Care Education/Training Program | 1541 Kings Highway, Anesthesiology, Shreveport, LA 71130-3932 | 2019-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083124887 | Elizabeth Ponder | Case Manager/Care Coordinator | 404 Hearne Avenue, Shreveport, LA 71103 | 2017-10-05 |
| 1245648393 | Madiha Tariq | General Acute Care Hospital | Rheumatology Clinic, 1501 Kings Hwy, Sheveport, LA 71103 | 2014-07-31 |
| 1659782688 | Jennifer G Smith | Pharmacist | 1725 Claiborne Ave, Shreveport, LA 71103 | 2014-05-13 |
| 1336568823 | Taylor Jieun Jung | Student in an Organized Health Care Education/Training Program | Lsu Health Sciences Center 1501 Kings Highway, Department of Oral & Maxillofacial Surgery Room 530, Shreveport, LA 71103 | 2014-04-10 |
| 1578984746 | Jamie Terrell | Pharmacist | 1625 Claiborne Ave, Shreveport, LA 71103 | 2013-12-13 |
| 1346675188 | Srijan Tandukar | Internal Medicine | 2751 Albert L Bicknell Dr Ste 2b, Shreveport, LA 71103 | 2013-09-12 |
| 1699017681 | Deanna Elise Mossallati | Internal Medicine | 8551 Greenwood Rd, Suite 410, Shreveport, LA 71103 | 2013-03-18 |
| 1346527330 | Tim M Smith | Clinical Exercise Physiologist | 3200 Greenwood Rd., Shreveport, LA 71103 | 2011-11-04 |
| 1144451683 | Second Chance Recovery | Durable Medical Equipment & Medical Supplies | 3816 Linwood, Shreveport, LA 71103 | 2009-07-31 |
| 1093919920 | Neeraj Singh | Internal Medicine | 2751 Albert L Bicknell Dr Fl 4, Shreveport, LA 71103 | 2007-06-13 |
| Find all providers in zip 71103 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518508282 | Whitney Jackson | Nurse Practitioner | 1549 E 70th St Ste 300, Shreveport, LA 71105-5056 | 2019-10-03 |
| 1407322209 | Tiffany Michelle Williams | Nurse Practitioner | 7551 Youree Dr, Shreveport, LA 71105-5533 | 2018-10-18 |
| 1801334453 | Katoya Johnson | Nurse Practitioner | 1005 Quail Creek Rd Apt A, Shreveport, LA 71105-2310 | 2017-02-03 |
| 1023565298 | Primary Care At Home of Louisiana, LLC | Nurse Practitioner | 6425 Youree Dr Ste 290, One Bellemead Center, Shreveport, LA 71105-4634 | 2016-09-06 |
| 1457546095 | Julia B Henry | Nurse Practitioner | 2751 Albert L Bicknell Dr Ste 2d, Shreveport, LA 71103-3939 | 2007-09-06 |
| 1588867485 | Donna Rogers Hewitt | Nurse Practitioner | 1800 E 70th St, Shreveport, LA 71105-5338 | 2007-06-07 |
| 1134215361 | Angela Birdsong Fellows | Nurse Practitioner | 1666 E Bert Koun Loop, Shreveport, LA 71105-5714 | 2006-10-05 |
| 1942220959 | Tammy Rene Bennett | Nurse Practitioner | 1525 Fairfield Ave Ste 569, Office of Public Health, Shreveport, LA 71101-4331 | 2006-07-20 |
| 1134149859 | John Charles Charity | Nurse Practitioner | 503 Broadmoor Blvd, Shreveport, LA 71105-2023 | 2006-07-19 |
| 1144829540 | Jenna Nicole Blundell | Nurse Practitioner | 1811 E Bert Kouns Industrial Loop Ste 210, Shreveport, LA 71105-5740 | 2020-10-19 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71103 |
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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.