Active NPI
Tricia T Davis, PA-C
- Physician Assistant
- Shreveport, LA
National Provider Identifier
1073370805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 340617
- Practice address
- 7925 Youree Dr Ste 200
Shreveport, LA 71105-5134 - Phone
- (318) 212-3610
- Fax
- (318) 212-3709
- NPI assigned
- Feb 28, 2024
- 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 | 340617 | LA | Primary |
Addresses
Primary practice location
7925 Youree Dr Ste 200
Shreveport, LA 71105-5134
Mailing address
7925 Youree Dr Ste 200
Shreveport, LA 71105-5134
Phone (318) 212-3610
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
216 Pennsylvania Ave
Shreveport, LA 71105-3320
Hospital & facility affiliations
- Willis Knighton Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 340617 | LA | MD | Physician Assistant |
Interoperability endpoints
- tricia.davis.p1@direct.sil.nextgenshare.com
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bossier City, LA
- NPI 1003968579
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1124170691
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1275685539
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1568461572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751932800000",
"number": "1073370805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7925 YOUREE DR STE 200",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711055134",
"telephone_number": "318-212-3610",
"fax_number": "318-212-3709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7925 YOUREE DR STE 200",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711055134",
"telephone_number": "318-212-3610",
"fax_number": "318-212-3709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "TRICIA",
"middle_name": "T",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-28",
"last_updated": "2025-07-08",
"certification_date": "2025-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "LA",
"license": "340617",
"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, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.