Individual provider Active NPI

Alesha N Kingsby

  • Family Nurse Practitioner
  • Shreveport, LA
National Provider Identifier
1063992238
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F06181386 Issued in LA
Practice address
653 W 70TH St
Shreveport, LA 71106-2949
Phone
(318) 636-8389
Fax
(318) 319-2151
NPI assigned
Aug 17, 2018
Last updated
Oct 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F06181386 LA Primary
Primary Care Nurse Practitioner 363LP2300X AP200083 LA

Addresses

Primary practice location

653 W 70TH St
Shreveport, LA 71106-2949

Mailing address

653 W 70TH St
Shreveport, LA 71106-2949
Phone (318) 636-8389

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
I20190725003780 LA Practitioner - Nurse Practitioner 4385970524 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Street Health Physicians Group of Louisiana LLCGroup PAC ID 6406261387, 26 clinicians

Practice addresses (Care Compare)

653 W 70TH St
Shreveport, LA 71106-2949
Phone (318) 636-8389

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F06181386LAMDFamily Nurse Practitioner
AP200083LAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Icp Louisiana Aco Billing LLC CurrentSince Dec 14, 2023 Accepting new patients
Oak Street Health Physicians Group of Louisiana LLC Family CurrentSince May 20, 2024 Accepting new patients
Council for Advancement of Social Service and Education CurrentSince Jul 1, 2019 Accepting new patients
Council for Advancement of Social Service and Education Current Accepting new patients
Integrated Care Professionals of Lousiana, LLC CurrentSince Dec 14, 2023 Accepting new patients
Council for Advancement of Social Service and Education CurrentSince Jul 1, 2019 Accepting new patients
Osh-in Physicians Group, PC Family Past Accepting new patients

Locations

3301 W Main Pl
Russellville, AR 72801
Phone (855) 498-6768

5151 Plank Rd
Ste 210
Baton Rouge, LA 70805
Phone (225) 500-7028

907 Polk St
Mansfield, LA 71052
Phone (318) 688-3350

6521 Airline Dr
Metairie, LA 70003
Phone (504) 534-1226

1560 Irving Pl
Shreveport, LA 71101
Phone (318) 212-1194

333 Texas St
Ste 1300
Shreveport, LA 71101
Phone (318) 723-9341

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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": "1534464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1063992238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 W 70TH ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711062949",
            "telephone_number": "318-636-8389",
            "fax_number": "318-319-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 W 70TH ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711062949",
            "telephone_number": "318-636-8389",
            "fax_number": "318-319-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINGSBY",
        "first_name": "ALESHA",
        "middle_name": "N",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-17",
        "last_updated": "2024-10-07",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "F06181386",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "LA",
            "license": "AP200083",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.