Individual provider Active NPI

Katherine Washington, FNP-BC

  • Family Nurse Practitioner
  • Shreveport, LA
National Provider Identifier
1093191678
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP08465 Issued in LA
Practice address
140 Gulfstream LN
Shreveport, LA 71106-3431
Phone
(318) 751-5417
NPI assigned
Aug 5, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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 AP08465 LA Primary

Addresses

Primary practice location

140 Gulfstream LN
Shreveport, LA 71106-3431

Mailing address

140 Gulfstream LN
Shreveport, LA 71106-3431
Phone (318) 751-5417

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
I20151023000899 LA Practitioner - Nurse Practitioner 0042529539 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP08465LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Calcasieu Urgent Care, LLC CurrentSince May 6, 2024 Accepting new patients
Calcasieu Urgent Care LLC CurrentSince May 6, 2024 Accepting new patients
David Raines Community Health Center, Inc CurrentSince Sep 1, 2022 Accepting new patients
David Raines Community Health Center, Inc CurrentSince Sep 1, 2022 Accepting new patients

Locations

2640 Country Club Rd
Ste 400
Lake Charles, LA 70605
Phone (337) 426-0919

1121 Polk St
Mansfield, LA 71052
Phone (318) 575-2143

307 Keyser Ave
Natchitoches, LA 71457
Phone (318) 352-5221

1625 David Raines Rd
Shreveport, LA 71107
Phone (318) 425-2252

3041 Dr Martin Luther King Dr
Shreveport, LA 71107
Phone (318) 227-3350

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1093191678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 GULFSTREAM LN",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711063431",
            "telephone_number": "318-751-5417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 GULFSTREAM LN",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711063431",
            "telephone_number": "318-751-5417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "KATHERINE",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-05",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP08465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.