SHEENA RENAYE YOUNGBLOOD (NPI# 1437768447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437768447 |
| Entity Type | Individual |
| Full Name | SHEENA RENAYE YOUNGBLOOD |
| Credential | APRN, FNP-C |
| Practice Address |
1453 E Bert Kouns Industrial Loop Ste 112 Shreveport LA 71105-6810 |
| Practice Telephone | 3187989400 |
| Mailing Telephone | 3187989400 |
| Enumeration Date | 2020-07-26 |
| Last Update Date | 2020-07-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
214801 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1453 E BERT KOUNS INDUSTRIAL LOOP STE 112 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71105-6810 |
| 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 | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841806775 | Shelia M Reliford | Nurse Practitioner | 3928 Balcom St, Shreveport, LA 71109-5004 | 2020-09-16 |
| 1801407325 | Mariagoretti Lumnwi Niba | Nurse Practitioner | 1535 River Parkway Blvd Apt 708, Shreveport, LA 71104-1809 | 2020-08-10 |
| 1285265397 | Karen Elizabeth Jordan | Nurse Practitioner | 172 Southfield Rd, Shreveport, LA 71105-3721 | 2020-01-28 |
| 1235776709 | Malene Nilaja Coleman | Nurse Practitioner | 1811 E Bert Kouns Industrial Loop Unit 210, Shreveport, LA 71105-5740 | 2019-12-04 |
| 1417504093 | Roberto Rodriquez Monsanto II | Nurse Practitioner | 3724 Baxter St, Shreveport, LA 71109-7402 | 2019-08-20 |
| 1275188757 | Sara Vergis | Nurse Practitioner | 10453 Keysburg Ct, Shreveport, LA 71106-7785 | 2019-08-02 |
| 1457912800 | Ema-chanel Johnson | Nurse Practitioner | 8219 Spring Valley Cir, Shreveport, LA 71107-8609 | 2019-06-26 |
| 1083170666 | Vanisha Faye Williams | Nurse Practitioner | 8857 Hedges Dr, Shreveport, LA 71118-2008 | 2019-02-19 |
| 1700366655 | Wendy King | Nurse Practitioner | 3060 Duncan Dr, Shreveport, LA 71119-2302 | 2018-08-20 |
| 1619490166 | Kaytlin H Hughes | Nurse Practitioner | 6821 Pines Rd Ste 100, Shreveport, LA 71129-2547 | 2017-07-17 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71105 |
Please comment or provide details below to improve the information on SHEENA RENAYE YOUNGBLOOD.
| 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.