Individual provider Active NPI

Kimberly Rae Stanfield Townsend, FNP-C

  • Family Nurse Practitioner
  • Shreveport, LA
National Provider Identifier
1053832287
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP09396 Issued in LA
Practice address
2205 E 70TH St
Shreveport, LA 71105-5321
Phone
(318) 797-1585
NPI assigned
Jun 28, 2017
Last updated
Nov 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP09396 LA Primary

Addresses

Primary practice location

2205 E 70TH St
Shreveport, LA 71105-5321

Mailing address

2205 E 70TH St
Shreveport, LA 71105-5321
Phone (318) 797-1585

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170826000007 LA Practitioner - Nurse Practitioner 3375815277 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurology and Sleep Clinic a Professional Medical CorpGroup PAC ID 8628108909, 2 clinicians
Saramed LLCGroup PAC ID 4789017591, 3 clinicians

Practice addresses (Care Compare)

2205 E 70TH St
Shreveport, LA 71105-5321
Phone (318) 797-1585

7600 Fern Ave
Suite 700a
Shreveport, LA 71105-5673
Phone (318) 657-0187

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology & Sleep Clinic a Professional Medical Corp CurrentSince Apr 28, 2021 Accepting new patients
Saramed LLC CurrentSince Nov 1, 2025 Accepting new patients
Sleep Care Clinic LLC CurrentSince Nov 1, 2025 Accepting new patients

Locations

2205 E 70th St
Shreveport, LA 71105
Phone (318) 797-1585

7600 Fern Ave
Ste 700A
Shreveport, LA 71105
Phone (318) 657-0187

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1053832287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 E 70TH ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055321",
            "telephone_number": "318-797-1585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 E 70TH ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055321",
            "telephone_number": "318-797-1585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANFIELD TOWNSEND",
        "first_name": "KIMBERLY",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-28",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP09396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.