Individual provider Active NPI

Norann Y. Planchock, PHD, APRN, BC

  • Family Nurse Practitioner
  • Shreveport, LA
National Provider Identifier
1073660114
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN037722-AP01172 Issued in LA
Practice address
1233 Sprague Street
Martin Luther King Health Center
Shreveport, LA 71101
Phone
(318) 227-2912
NPI assigned
Jan 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 RN037722-AP01172 LA Primary

Addresses

Primary practice location

1233 Sprague Street
Martin Luther King Health Center
Shreveport, LA 71101

Mailing address

10029 Thornwood Dr
Shreveport, LA 71106-7648
Phone (318) 798-3845

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
RN037722-AP01172LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Martin Luther King Health Center Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073660114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10029 THORNWOOD DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711067648",
            "telephone_number": "318-798-3845",
            "fax_number": "318-677-3127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 SPRAGUE STREET",
            "address_2": "MARTIN LUTHER KING HEALTH CENTER",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71101",
            "telephone_number": "318-227-2912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLANCHOCK",
        "first_name": "NORANN",
        "middle_name": "Y.",
        "name_prefix": "Dr.",
        "credential": "PHD, APRN, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "RN037722-AP01172",
            "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.

Verify at the official NPI Registry.