Active NPI
Michael Dale Patterson, NP
- Acute Care Nurse Practitioner
- Shreveport, LA
National Provider Identifier
1043220247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- RN077196 AP03525
- Practice address
- 510 E Stoner Ave
Overton Brooks Vamc , HBPC
Shreveport, LA 71101-4243 - Phone
- (318) 424-6106
- NPI assigned
- Aug 9, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | RN077196 AP03525 | LA | Primary |
Addresses
Primary practice location
510 E Stoner Ave
Overton Brooks Vamc , HBPC
Shreveport, LA 71101-4243
Mailing address
510 E Stoner Ave
Overton Brooks Vamc , HBPC
Shreveport, LA 71101-4243
Phone (318) 424-6106
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN077196 AP03525 | LA | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rheumatology and Osteoporosis Specialists, AMC | Past | Accepting new patients | |
| Rheumatology and Osteoporosis Specialists, AMC | Past | Accepting new patients | |
| Cenla Heart Specialists LLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BAJHBA
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 3
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.
-
- Interventional Cardiology Physician
- Alexandria, LA
- NPI 1063579456
-
- Pharmacy
- Shreveport, LA
- NPI 1477343713
-
- Rheumatology Physician
- Shreveport, LA
- NPI 1689766271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043220247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 E STONER AVE",
"address_2": "OVERTON BROOKS VAMC , HBPC",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711014243",
"telephone_number": "318-424-6106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 E STONER AVE",
"address_2": "OVERTON BROOKS VAMC , HBPC",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711014243",
"telephone_number": "318-424-6106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "MICHAEL",
"middle_name": "DALE",
"name_prefix": "Mr.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "LA",
"license": "RN077196 AP03525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.