SHREVEPORT VAMC (NPI# 1649218090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649218090 |
| Entity Type | Organization |
| Organization Name | SHREVEPORT VAMC |
| Other Organization Name | MONROE VA CLINIC |
| Practice Address |
1691 Bienville Dr Monroe LA 71201-3756 |
| Mailing Address |
Po Box 94538 Cleveland OH 44101 |
| Practice Telephone | 6153553451 |
| Mailing Telephone | 6153553451 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2017-09-26 |
| Authorized Official Name | ERIN POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| MONROE VA CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417996489 | Shreveport Vamc | Clinic/Center | 910 Realtor Road, Texarkana, AR 71854-1020 | 2006-06-05 |
| 1639567993 | Shreveport Vamc | Clinic/Center | 3000 Knight St, Building 5, Shreveport, LA 71105-2502 | 2015-01-08 |
| 1457307522 | Shreveport Vamc | Clinic/Center | 1005 N Eastman Rd, Longview, TX 75601-4231 | 2006-05-26 |
| 1891745626 | Shreveport Vamc | General Acute Care Hospital | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2006-05-11 |
| 1982652145 | Shreveport Vamc | Department of Veterans Affairs (VA) Pharmacy | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2006-05-04 |
| Street Address |
1691 BIENVILLE DR |
| City | MONROE |
| State | LA |
| Zip Code | 71201-3756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265042303 | Hannah Buffington | Dietitian, Registered | 1691 Bienville Dr, Monroe, LA 71201-3756 | 2020-08-04 |
| 1073171963 | Holly Carter | Social Worker | 1691 Bienville Dr, Monroe, LA 71201-3756 | 2019-06-05 |
| 1912490764 | Jessica Dawn Ivey Coker | Audiologist | 1691 Bienville Dr, Monroe, LA 71201 | 2018-06-07 |
| 1639675960 | Brooke Pershunna Brown-gix | Registered Nurse | 1691 Bienville Dr, Monroe, LA 71201-3756 | 2018-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043831035 | Tammy Price | Social Worker | 414 Pine Street, Monroe, LA 71201 | 2020-04-30 |
| 1932749116 | Emmanuel Brown Jr. | Case Manager/Care Coordinator | 2808 Evangeline Street, Monroe, LA 71201 | 2020-01-15 |
| 1063050961 | James J Gregory | Social Worker | 4800 S Grand, Monroe, LA 71201 | 2019-12-11 |
| 1285271221 | William Fairley | Non-emergency Medical Transport (VAN) | 1002 N. 7th St., Apt. 4, Monroe, LA 71201 | 2019-12-10 |
| 1619431715 | Guidance Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1204 Stubbs Ave. Suite B, Monroe, LA 71201 | 2019-01-23 |
| 1184193286 | Marnesha Davis | Assistant Behavior Analyst | 500 N. 21st Street, Monroe, LA 71201 | 2018-11-19 |
| 1912476482 | Gbc Hope | Residential Treatment Facility, Emotionally Disturbed Children | 311 South 1st Street, Monroe, LA 71201 | 2018-11-14 |
| 1124502505 | Orthopaedic Clinic of Monroe | Non-Pharmacy Dispensing Site | 1501 Louisville Ave., Monroe, LA 71201 | 2018-09-20 |
| 1699266643 | Melissa Anne De La O | Audiologist | 2516 Broadmoor Blvd # 1b, Monroe, LA 71201 | 2018-05-25 |
| 1588153738 | Essential Family Medicine, LLC | Nurse Practitioner | 2014 Tower Dr. Ste A, Monroe, LA 71201 | 2018-05-03 |
| Find all providers in zip 71201 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811355779 | Alexandria Vamc | Clinic/Center | 3601 Gerstner Memorial Drive, Hwy 14, Lake Charles, LA 70607-9998 | 2016-02-08 |
| 1104294693 | Va North Texas Health Care System | Clinic/Center | 3809 Transcontinental Dr, Metairie, LA 70006-2639 | 2015-09-14 |
| 1760535058 | New Orleans Vamc | Clinic/Center | 4004 W Airline Hwy, Reserve, LA 70084-5712 | 2007-01-19 |
| 1457396095 | Southeast Louisiana Veterans Health Care System | Clinic/Center | 1101 S Morrison Blvd, Hammond, LA 70403-5409 | 2006-06-18 |
| 1093761462 | Alexandria Vamc | Clinic/Center | 1907 Johnson St, Jennings, LA 70546-3627 | 2006-05-26 |
| 1245286277 | New Orleans Vamc | Clinic/Center | 6433 W Park Ave, Suite 107, Houma, LA 70364-2238 | 2006-05-25 |
| 1275589137 | Alexandria Vamc | Clinic/Center | 3149 Ambassador Caffery Parkway, Lafayette, LA 70506-7209 | 2006-05-25 |
| 1225696610 | Caring Hands LLC | Clinic/Center | 134 Arlington Dr, Lake Charles, LA 70605-5702 | 2019-05-31 |
| 1366896714 | Alexandria Vamc | Clinic/Center | 309 Saint Julien Ave, Suite 201, Lafayette, LA 70506-4655 | 2016-04-21 |
| 1134517493 | New Orleans Vamc | Clinic/Center | 7850 Anselmo Ln, Baton Rouge, LA 70810-1101 | 2015-01-08 |
| Find all providers with the same taxonomy | ||||
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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.