NICOLETTE HUMPHRIES


Address: 2518 Bert Kouns Ind. Loop, Shreveport, LA 71118-3112
Phone: 3182125437

NICOLETTE HUMPHRIES (NPI# 1891938239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891938239
Entity Type Individual
Full Name NICOLETTE HUMPHRIES
Credential MD
Practice Address 2518 Bert Kouns Ind. Loop
Shreveport
LA 71118-3112
Practice Telephone 3182125437
Practice Fax Number 3182125825
Mailing Telephone 3182125437
Mailing Fax Number 3182125825
Enumeration Date 2009-04-15
Last Update Date 2012-08-31
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics 204992 LA Allopathic & Osteopathic Physicians

Office Location

Street Address 2518 BERT KOUNS IND. LOOP
City SHREVEPORT
State LA
Zip Code 71118-3112

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720620784 Wk Center for Pediatric Gastroenterology Pediatrics Wk Center for Pediatric Gastroenterology, 2530 Bert Kouns Industrial Loop, Ste 113, Shreveport, LA 71118 2019-10-11
1306302443 Diamond Marie Willis Case Manager/Care Coordinator 9403 Mansfield Rd., Shreveport, LA 71118 2019-02-13
1194224469 Latosa Hall Case Manager/Care Coordinator 9007 Letha Loop, Shreveport, LA 71118 2018-02-01
1902321623 Bersheika Lashay Player Counselor 9403 Mansfield Road, Shreveport, LA 71118 2017-08-03
1518487149 Clarke Jackson Case Manager/Care Coordinator 9730 Baird Rd Apt 2310, Shreveport, LA 71118 2017-06-24
1770010449 Darrie'l Smith Counselor 2715 Mackey, Shreveport, LA 71118 2017-05-12
1760917041 Delilah Wells Case Manager/Care Coordinator 9005 Walker Rd Apt 722, Shreveport, LA 71118 2017-04-25
1790229664 We Care Transporttion Services LLC Secured Medical Transport (VAN) 2529 Summer Grove Dr, Shreveport, LA 71118 2016-12-13
1063955128 Commanisha Smith Social Worker 2715 Mackey Place, Shreveport, LA 71118 2016-11-22
1023560802 Yasmin Newman Counselor 9812 West Trails End, Shreveport, LA 71118 2016-10-27
Find all providers in zip 71118

Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619311438 Amanda Vice Haynie Pediatrics 2225 Line Avenue, Mid City Pediatrics, Shreveport, LA 71104 2013-04-23
1487913976 Greg M Oji Pediatrics 2508 Bert Kouns Industrial Loop Ste 320, Shreveport, LA 71118-3154 2012-05-03
1497011001 Tamara Lynn Moore Pediatrics 1811 E Bert Kouns Industrial Loop Ste 140, Shreveport, LA 71105-5741 2012-04-09
1316228984 Choice Pediatrics, LLC Pediatrics 6930 Fern Ave, Suite 150, Shreveport, LA 71105-4100 2011-09-08
1598077323 Virginia Homza Carter Pediatrics 909 Olive St, Shreveport, LA 71104 2010-07-09
1407042435 Hester Suh Pediatrics 2709 Mackey Ln, Shreveport, LA 71118-2556 2007-09-24
1639203367 Suyah M Loud Pediatrics 4140 Hollywood Ave, Suite B-2, Shreveport, LA 71109-7818 2007-03-15
1891833869 Holliway Medical Clinic LLC Pediatrics 3824 Hearne Ave, Shreveport, LA 71103 2007-02-02
1134295520 D Gene Mack Jr Md and Willis-knighton Medical Center Pediatrics 1799 E Bert Kouns Industrial Loop, Shreveport, LA 71105-5561 2006-11-28
1669582052 Wee Care Pediatrics & Kid Med Clinic Pediatrics 4571 N Market, Shreveport, LA 71107 2006-08-30
Find all providers in SHREVEPORT

Competitor

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City SHREVEPORT
Zip Code 71118

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Dataset Information

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.

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