DSD Health Services
Organization Active NPI Family Nurse Practitioner · Bernice, LA
NPI 1003402876 · NPPES record last updated Mar 17, 2022
Key facts
- NPI
- 1003402876
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Nurse Practitioner 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
- Organization subpart
- No
Authorized official
- Name
- Ms. Shrieka Tarease Evans, NP-C
- Title
- Ceo
- Phone
- (318) 243-0436
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210818001067 | LA | Part B Supplier - Clinic/Group Practice | 5395140065 |
Receives reassigned benefits from 1 practitioner Practice locations: Ruston, LA; Bernice, LA |
National Provider Directory
Locations
609 SW 8th St
Bentonville, AR 72712
Phone (479) 966-4055
210 Highway 167 N
Bernice, LA 71222
Phone (318) 243-0436
742 Celebrity Dr
Ruston, LA 71270
Phone (318) 265-9902
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | Yes | ||
| Psychiatric/Mental Health Nurse Practitioner |
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
Other providers in Bernice, LA
- Bernice Medical Associates,LLC
- Bernice Nursing and Rehabilitation Center, LLC
- Yheley Yhanet Borjas
- Morgan Brazzel
- Debra Wheeler Dehart
- Patricia Marie Eddens
- Lois A. Evans
- Shrieka T Evans
- Gibbs Comprehensive Care, LLC
- Good Life Home and Community Care LLC
All providers in Bernice, LA · Family Nurse Practitioner in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.