Active NPI
Kristi Harrison Gaspard, PA-C
- Physician Assistant
- Shreveport, LA
National Provider Identifier
1013499763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 310474
- Practice address
- 8383 Millicent Way
Shreveport, LA 71115-5207 - Phone
- (318) 797-6661
- Fax
- (318) 795-8512
- NPI assigned
- Aug 29, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 310474 | LA | Primary |
Addresses
Primary practice location
8383 Millicent Way
Shreveport, LA 71115-5207
Mailing address
2508 Bert Koun Loop Ste 106
Shreveport, LA 71118-3175
Phone (318) 798-9881
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.mettles.com/ | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 310474 | LA | MD | Physician Assistant |
Interoperability endpoints
- kristigaspard@tfd.allscriptsdirect.net
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Shreveport, LA
- NPI 1164443826
-
- Hospitalist Physician
- Shreveport, LA
- NPI 1831357482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715126400000",
"number": "1013499763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2508 BERT KOUN LOOP STE 106",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711183175",
"telephone_number": "318-798-9881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8383 MILLICENT WAY",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711155207",
"telephone_number": "318-797-6661",
"fax_number": "318-795-8512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GASPARD",
"first_name": "KRISTI",
"middle_name": "HARRISON",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-29",
"last_updated": "2024-05-08",
"certification_date": "2024-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "LA",
"license": "310474",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.mettles.com/",
"affiliation": "N",
"endpointDescription": "2.16.840.1.113883.3.6037.1",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "10320 Little Patuxent Pkwy Ste 233-02",
"city": "Columbia",
"state": "MD",
"country_code": "US",
"postal_code": "210443313",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.