SNELLS LIMBS & BRACES OF SHREVEPORT LLC (NPI# 1093963878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093963878 |
| Entity Type | Organization |
| Organization Name | SNELLS LIMBS & BRACES OF SHREVEPORT LLC |
| Practice Address |
8730 Youree Dr Building A Shreveport LA 71115-2518 |
| Mailing Address |
1833 Line Ave Shreveport LA 71101-4611 |
| Practice Telephone | 3187950953 |
| Mailing Telephone | 3184244167 |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2012-11-15 |
| Authorized Official Name | CLYDE N MASSEY (VICE PRESIDENT) |
| Authorized Official Telephone | 3184244167 |
| Authorized Official Credential | CPO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255482923 | Snells Limbs & Braces of Shreveport LLC | Prosthetic/Orthotic Supplier | 211 Hall St, Monroe, LA 71201-7524 | 2007-01-16 |
| 1851442503 | Snells Limbs & Braces of Shreveport LLC | Prosthetic/Orthotic Supplier | 1833 Line Ave, Shreveport, LA 71101-4611 | 2007-01-16 |
| 1366593022 | Snells Limbs & Braces of Shreveport LLC | Prosthetic/Orthotic Supplier | 1404 Jackson St, Alexandria, LA 71301-6931 | 2007-01-16 |
| Street Address |
8730 YOUREE DR BUILDING A |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71115-2518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390302 | Trena Leigh Edwards | Counselor | 8730 Youree Dr, Shreveport, LA 71115-2500 | 2020-06-09 |
| 1205345410 | Hannah Michelle Bailiff | Speech-Language Pathologist | 8730 Youree Dr, Shreveport, LA 71115-2500 | 2017-09-20 |
| 1205149531 | Asha Kilaru | Internal Medicine | 8730 Youree Dr, Ste A, Shreveport, LA 71115-2500 | 2010-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740829217 | Bno Surgical Consultants, LLC | Physician Assistant | 303 Captain Hm Shreve Blvd, Shreveport, LA 71115 | 2020-01-02 |
| 1902310899 | Islam LLC | General Acute Care Hospital | 9815 Paragon Ln, Shreveport, LA 71115 | 2017-11-30 |
| 1508304569 | Marcel White | Case Manager/Care Coordinator | 9050 Youree Dr, Apt 105, Shreveport, LA 71115 | 2017-02-09 |
| 1114392784 | Marilyn Sparks | Counselor | 9999 Smitherman Dr Apt 502, Shreveport, LA 71115 | 2015-12-08 |
| 1699031237 | Cody Tingle | Internal Medicine | 8001 Youree Dr Ste 400, Shreveport, LA 71115 | 2012-04-09 |
| 1629366885 | Pankaj Sharma | Psychiatry & Neurology | Department of Neurology, Lsuhsc Shreveport, 1501 Kings Highway, Shreveport, LA 71115 | 2011-07-21 |
| 1396914750 | Lisa L Jawahar | Radiologic Technologist | 429 Creek Holw, Shreveport, LOUISIANA 71115 | 2008-02-29 |
| 1720291412 | Larry Kenneth Robinson Jr. | Dentist | 8856 Youree Dr, Suite C, Shreveport, LA 71115 | 2007-05-08 |
| 1952471609 | Shining Star Professional Services Inc | Social Worker | 9050 Youree Drive, #1004, Shreveport, LA 71115 | 2006-11-09 |
| 1922178854 | Akee Lj Jackson | Social Worker | 9050 Youree Dr. #1004, Shreveport, LA 71115 | 2006-11-08 |
| Find all providers in zip 71115 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295242311 | Romunda Lockett | Prosthetic/Orthotic Supplier | 902 Pierre Ave, Shreveport, LA 71103-2828 | 2018-01-10 |
| 1053623157 | Butterfly Boutique, LLC | Prosthetic/Orthotic Supplier | 1950 E 70th St, Suite G, Shreveport, LA 71105-5345 | 2010-07-06 |
| 1841427788 | Magnolia Durable Medical Equipment Inc. | Prosthetic/Orthotic Supplier | 2005 Creswell Street, Shreveport, LA 71104-2201 | 2009-06-18 |
| 1316195795 | Riffle Prosthetics and Orthotics Inc | Prosthetic/Orthotic Supplier | 1938 E 70th St, Suite D, Shreveport, LA 71105-5340 | 2008-08-28 |
| 1982867032 | Arnold O & P Lab, Inc | Prosthetic/Orthotic Supplier | 619 Jordan Street, Shreveport, LA 71101 | 2008-07-09 |
| 1548447568 | Kitty A Roark. | Prosthetic/Orthotic Supplier | 855 Pierremont Rd Ste 126, Shreveport, LA 71106-2074 | 2008-01-22 |
| 1851442503 | Snells Limbs & Braces of Shreveport LLC | Prosthetic/Orthotic Supplier | 1833 Line Ave, Shreveport, LA 71101-4611 | 2007-01-16 |
| 1811961436 | Promyse-prosthetic Orthotic Group | Prosthetic/Orthotic Supplier | 3227 Portland Ave, Shreveport, LA 71103-4026 | 2006-02-13 |
| 1235139098 | Red River Orthotic Specialists, LLC | Prosthetic/Orthotic Supplier | 820 Jordan St, Suite 110, Shreveport, LA 71101-4518 | 2005-07-22 |
| 1912303330 | Pediatric Orthotic and Prosthetic Services-southeast, LLC | Prosthetic/Orthotic Supplier | 3100 Samford Ave, Shreveport, LA 71103-4239 | 2014-11-12 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71115 |
Please comment or provide details below to improve the information on SNELLS LIMBS & BRACES OF SHREVEPORT 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.