Organization Active NPI

DSD Health Services

  • Family Nurse Practitioner
  • Bernice, LA
National Provider Identifier
1003402876
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
DSD HEALTH SERVICES
Practice address
210 Highway 167 N
Bernice, LA 71222-5117
Phone
(318) 243-0436
NPI assigned
Dec 16, 2020
Last updated
Mar 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Shrieka Tarease Evans, NP-CNPI 1760815179
Title
Ceo
Phone
(318) 243-0436

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

210 Highway 167 N
Bernice, LA 71222-5117

Mailing address

2505 Cypress Springs Ave
Ruston, LA 71270-5109
Phone (318) 243-0436

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210818001067 LA Part B Supplier - Clinic/Group Practice 5395140065 Receives reassigned benefits from 1 practitioner
Practice locations: Ruston, LA; Bernice, LA

National Provider Directory

National Provider Directory

Locations

210 Highway 167 N
Bernice, LA 71222
Phone (318) 243-0436

742 Celebrity Dr
Ruston, LA 71270
Phone (318) 265-9902

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647475200000",
    "number": "1003402876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 CYPRESS SPRINGS AVE",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712705109",
            "telephone_number": "318-243-0436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 HIGHWAY 167 N",
            "city": "BERNICE",
            "state": "LA",
            "postal_code": "712225117",
            "telephone_number": "318-243-0436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DSD HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-16",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "SHRIEKA",
        "authorized_official_middle_name": "TAREASE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-243-0436",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bernice, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.