ARTERBERRY FAMILY CARE CENTER (NPI# 1992111793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992111793 |
| Entity Type | Organization |
| Organization Name | ARTERBERRY FAMILY CARE CENTER |
| Practice Address |
865 Olive St Shreveport LA 71104-2136 |
| Practice Telephone | 3184706194 |
| Practice Fax Number | 3182278105 |
| Mailing Telephone | 3184706194 |
| Mailing Fax Number | 3182278105 |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2014-11-05 |
| Authorized Official Name | KATHERYN ARTERBERRY (NURSE PRACTITIONER) |
| Authorized Official Telephone | 3184706194 |
| Authorized Official Credential | FNP-BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
LA | Ambulatory Health Care Facilities |
| Street Address |
865 OLIVE ST |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71104-2136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154497402 | Kelly Lee Skeesick | Counselor | 865 Olive St, Shreveport, LA 71104-2136 | 2006-11-28 |
| 1013332071 | Pamela B. Simmons | Nurse Practitioner | 865 Olive St, Shreveport, LA 71104-2136 | 2014-02-27 |
| 1134287808 | Hilaire Shows Williams | Counselor | 865 Olive St, Shreveport, LA 71104-2136 | 2006-12-05 |
| 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 | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205457645 | Perfect Phyzique Wellness & Body Contouring, LLC | Clinic/Center | 220 Carroll St Ste A, Shreveport, LA 71105-4247 | 2020-04-27 |
| 1649328030 | Mills Clinic A Professional Medical Corporation | Clinic/Center | 7225 Fern Avenue, Suite 600, Shreveport, LA 71105-4981 | 2007-01-08 |
| 1639798291 | Sick Day Rx LLC | Clinic/Center | 817 Ardennes Ct, Shreveport, LA 71115-4613 | 2020-04-14 |
| 1376191627 | Integrity Family Medicine Clinic LLC | Clinic/Center | 1800 Buckner St Ste A120, Shreveport, LA 71101-4440 | 2019-08-29 |
| 1316418288 | Drg Medical LLC | Clinic/Center | 1549 Elizabeth Ave, Shreveport, LA 71101-4501 | 2018-12-17 |
| 1275075129 | Neil Halim Fairfield Family Clinic | Clinic/Center | 1860 Fairfield Ave, Shreveport, LA 71101-4431 | 2016-11-09 |
| 1952761686 | Jonah Healthcare, A Professional Medical Corporation | Clinic/Center | 2328 Line Ave, Shreveport, LA 71104-2131 | 2016-02-23 |
| 1528432440 | Southern Pediatric Clinic | Clinic/Center | 202 N Thomas Dr, Suite 1, Shreveport, LA 71107-6539 | 2015-11-16 |
| 1649644675 | Sarah C Hamauei, Md, LLC | Clinic/Center | 2133 E Bert Kouns Industrial Loop, Shreveport, LA 71105-5314 | 2015-11-13 |
| 1508237256 | Southern Pediatric Clinic | Clinic/Center | 4571 N Market St, Shreveport, LA 71107-2917 | 2015-10-07 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71104 |
Please comment or provide details below to improve the information on ARTERBERRY FAMILY CARE CENTER.
| 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.