DR. VIRGINIA HOMZA CARTER (NPI# 1598077323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598077323 |
| Entity Type | Individual |
| Full Name | DR. VIRGINIA HOMZA CARTER |
| Practice Address |
909 Olive St Shreveport LA 71104 |
| Mailing Address |
Wk Pediatric Health & Wellness 909 Olive Street Shreveport LA 71104-2103 |
| Practice Telephone | 3186983291 |
| Practice Fax Number | 3186983293 |
| Mailing Telephone | 3186983291 |
| Mailing Fax Number | 3186983293 |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2019-10-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD.206164 | LA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | T-2322 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2340379 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2300 Hospital Dr, Suite 120, Bossier City, LA 711112394 | 3182127883 | 3182127885 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285910562 | Virginia Carter | Physical Therapist | 9601 W Chatfield Ave Unit F, Littleton, CO 80128-5090 | 2011-10-31 |
| 1154440295 | Virginia S. Carter | Marriage & Family Therapist | 3961 Vale Ave, Oakland, CA 94619-2221 | 2007-03-28 |
| 1508946336 | Virginia Ann Carter | Social Worker | 1821 Union Street, San Francisco, CA 94123-4307 | 2006-10-16 |
| 1144578121 | Virginia Kathleen Carter | Social Worker | 5150 Bayou Blvd, Pensacola, FL 32503-2158 | 2012-08-22 |
| 1447574181 | Virginia Marie Carter | Specialist | 101 Church St, Swanton, OH 43558-1013 | 2010-03-24 |
| 1760541478 | Virginia S Carter | Nurse Anesthetist, Certified Registered | 4733 W Sunset Blvd, Los Angeles, CA 90027-6021 | 2006-12-08 |
| Street Address |
909 OLIVE ST |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568015584 | Lori J Phillips | Nurse Practitioner | 909 Olive St, Shreveport, LA 71104-2103 | 2019-07-18 |
| 1063072197 | Wk Pediatric Health & Wellness | Pediatrics | 909 Olive St, Shreveport, LA 71104-2103 | 2019-06-20 |
| 1720556855 | Marleen Jannett Combs | Nurse Practitioner | 909 Olive St, Shreveport, LA 71104-2103 | 2018-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326582263 | Dana Jackson | Counselor | 2425 Youree Drive, Shreveport, LA 71104 | 2016-12-12 |
| 1154772929 | Belena Cawthorne | Case Manager/Care Coordinator | 2040 Southern Ave, Shreveport, LA 71104 | 2016-06-23 |
| 1437505286 | Courtney Espenan | Counselor | 3825 Gilbert Dr Ste 124, Shreveport, LA 71104 | 2016-05-11 |
| 1215390497 | Joshua Mitchell | Counselor | 1106 Dalzell Street, Shreveport, LA 71104 | 2016-04-04 |
| 1699135426 | Amy Lutricia Krohn | Counselor | 1041 Dalzell St, Shreveport, LA 71104 | 2016-03-07 |
| 1225497779 | Annie Redding II | Counselor | 2525 Youree Dr Suite 110, Shreveport, LA 71104 | 2016-02-12 |
| 1891152328 | Council On Alcoholism and Drug Abuse of Northwest Louisiana | Community/Behavioral Health | 2000 Fairfield Ave, Shreveport, LA 71104 | 2016-01-28 |
| 1922465731 | Marteze Singleton | Case Manager/Care Coordinator | 2525 Youree Dr Ste 10, Shreveport, LA 71104 | 2016-01-25 |
| 1891160297 | Damara Mora | Counselor | 2620 Centenary Blvd Bldg3 Ste 312, Shreveport, LA 71104 | 2015-12-10 |
| 1962876250 | Chastity Shermaine Graham | Counselor | 2620 Centenary Blvd Ste 312, Shreveport, LA 71104 | 2015-11-24 |
| Find all providers in zip 71104 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619311438 | Amanda Vice Haynie | Pediatrics | 2225 Line Avenue, Mid City Pediatrics, Shreveport, LA 71104 | 2013-04-23 |
| 1487913976 | Greg M Oji | Pediatrics | 2508 Bert Kouns Industrial Loop Ste 320, Shreveport, LA 71118-3154 | 2012-05-03 |
| 1497011001 | Tamara Lynn Moore | Pediatrics | 1811 E Bert Kouns Industrial Loop Ste 140, Shreveport, LA 71105-5741 | 2012-04-09 |
| 1316228984 | Choice Pediatrics, LLC | Pediatrics | 6930 Fern Ave, Suite 150, Shreveport, LA 71105-4100 | 2011-09-08 |
| 1891938239 | Nicolette Humphries | Pediatrics | 2518 Bert Kouns Ind. Loop, Shreveport, LA 71118-3112 | 2009-04-15 |
| 1407042435 | Hester Suh | Pediatrics | 2709 Mackey Ln, Shreveport, LA 71118-2556 | 2007-09-24 |
| 1639203367 | Suyah M Loud | Pediatrics | 4140 Hollywood Ave, Suite B-2, Shreveport, LA 71109-7818 | 2007-03-15 |
| 1891833869 | Holliway Medical Clinic LLC | Pediatrics | 3824 Hearne Ave, Shreveport, LA 71103 | 2007-02-02 |
| 1134295520 | D Gene Mack Jr Md and Willis-knighton Medical Center | Pediatrics | 1799 E Bert Kouns Industrial Loop, Shreveport, LA 71105-5561 | 2006-11-28 |
| 1669582052 | Wee Care Pediatrics & Kid Med Clinic | Pediatrics | 4571 N Market, Shreveport, LA 71107 | 2006-08-30 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71104 |
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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.