DR. CARRIE L. BEARDEN (NPI# 1477541860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477541860 |
| Entity Type | Individual |
| Full Name | DR. CARRIE L. BEARDEN |
| Credential | MD |
| Practice Address |
2915 Missouri Ave. Shreveport LA 71109 |
| Mailing Address |
Po Box 731280 Dallas TX 75373-1280 |
| Practice Telephone | 3183642000 |
| Mailing Telephone | 3188419532 |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2012-04-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
13513 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1432571 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053639377 | Carrie Pritchard Bearden | Counselor | 1017 Medical Center Pkwy, Selma, AL 36701-6780 | 2010-05-11 |
| 1194750919 | Carrie Bearden | Psychologist | 300 Medical Plz, Los Angeles, CA 90095-0001 | 2006-07-11 |
| Street Address |
2915 MISSOURI AVE. |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548784416 | Barbara Smith | Counselor | 4019 Greenwood Road, Shreveport, LA 71109 | 2017-08-01 |
| 1508306135 | Cherise Sims | Case Manager/Care Coordinator | 3512 Greenbriar Dr, Shreveport, LA 71109 | 2017-03-01 |
| 1174063093 | Nitika Pinesett | Case Manager/Care Coordinator | 3011 Independence Ave, Shreveport, LA 71109 | 2017-02-24 |
| 1831640986 | Aleric Hamilton | Counselor | 2605 Leaf Ln, Shreveport, LA 71109 | 2016-10-24 |
| 1144673963 | Lakeishia Johnson | Technician | 5342 Broadway Ave, Shreveport, LA 71109 | 2016-07-16 |
| 1083074223 | Patricia Pouncy | Counselor | 4019 Greenwood Rd, Shreveport, LA 71109 | 2016-03-01 |
| 1326418518 | Deepasulochana Sivasankaraganesan | Dentist | 3719 Jewella Ave, Shreveport, LA 71109 | 2015-09-30 |
| 1063611838 | Della Edwards Wills | Social Worker | 4615 Monkhouse Drive, Ste A-2-b, Shreveport, LA 71109 | 2007-07-12 |
| 1083743041 | An Endless Love Home Care, LLC | Point of Service | 6259 Tinker Street, Shreveport, LA 71109 | 2007-03-05 |
| 1316009624 | Djenane Rousseau | Pharmacist | 4140 Hollywood, Shreveport, LA 71109 | 2006-12-14 |
| Find all providers in zip 71109 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487915054 | Steven K Ellsworth | Pathology | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2012-05-31 |
| 1134495401 | Aaron Joseph Cotrell | Pathology | 2915 Missouri Ave, Shreveport, LA 71109-4327 | 2012-03-30 |
| 1144515412 | Kirtesh Harshad Patel | Pathology | 2915 Missouri Ave, Shreveport, LA 71109-4327 | 2011-06-15 |
| 1669764072 | Mingxia Shi | Pathology | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2011-05-04 |
| 1487944930 | Matthew Bryan Mastrodomenico | Pathology | 2915 Missouri Ave, Shreveport, LA 71109-4327 | 2011-04-17 |
| 1891084125 | Firas Al-delfi | Pathology | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2011-04-07 |
| 1679872329 | Luis Soto | Pathology | 2915 Missouri Ave, Shreveport, LA 71109-4327 | 2011-03-21 |
| 1104144211 | Jared Dale Barker | Pathology | 2915 Missouri Ave, Shreveport, LA 71109-4327 | 2010-05-13 |
| 1659515351 | Bruce Herrington | Pathology | 2915 Missouri Ave, Shreveport, LA 71109-4327 | 2009-04-24 |
| 1821234378 | Menchu De Guzman Ong | Pathology | 1501 Kings Hwy, Department of Pathology, Shreveport, LA 71103-4228 | 2009-01-05 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71109 |
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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.