Individual provider Active NPI

Erin Clements

  • Internal Medicine Physician
  • Shreveport, LA
National Provider Identifier
1053769380
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
312201 Issued in LA
Practice address
2751 Albert L Bicknell Dr Ste 2D
Shreveport, LA 71103-3939
Phone
(318) 212-4232
Fax
(318) 212-4257
NPI assigned
May 26, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 312201 LA Primary

Addresses

Primary practice location

2751 Albert L Bicknell Dr Ste 2D
Shreveport, LA 71103-3939

Mailing address

2751 Albert L Bicknell Dr Ste 2D
Shreveport, LA 71103-3939
Phone (318) 212-4232

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190814002824 LA Practitioner - Internal Medicine 6901192020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Louisiana State University School of Medicine in Shreveport, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WK Academic Medicine ClinicGroup PAC ID 4688078371, 6 clinicians

Practice addresses (Care Compare)

2751 Albert L Bicknell Dr
Suite 2D
Shreveport, LA 71103-3939
Phone (318) 212-4232

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
312201LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
WK Academic Medicine Clinic Internal Medicine CurrentSince Jan 1, 2025 Accepting new patients

Locations

1202 Louisiana Ave
Shreveport, LA 71101
Phone (318) 212-8946

2751 Albert L Bicknell Dr
Ste 2D
Shreveport, LA 71103
Phone (318) 212-4232

Interoperability endpoints

  • Direct secure messaging: eclements@direct.wkhs.com

Organizations & group practices 1

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1053769380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 ALBERT L BICKNELL DR STE 2D",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711033939",
            "telephone_number": "318-212-4232",
            "fax_number": "318-212-4257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 ALBERT L BICKNELL DR STE 2D",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711033939",
            "telephone_number": "318-212-4232",
            "fax_number": "318-212-4257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENTS",
        "first_name": "ERIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-26",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "312201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.