Active NPI
Margaret Crittell, MD
- Pediatrics Physician
- Shreveport, LA
National Provider Identifier
1235175696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 15185R
- Practice address
- 1811 E Bert Kouns Industrial Loop Ste 140
Shreveport, LA 71105-5741 - Phone
- (318) 212-3900
- Fax
- (318) 212-3945
- NPI assigned
- Jun 22, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 15185R | LA | Primary |
Addresses
Primary practice location
1811 E Bert Kouns Industrial Loop Ste 140
Shreveport, LA 71105-5741
Mailing address
1811 E Bert Kouns Industrial Loop Ste 140
Shreveport, LA 71105-5741
Phone (318) 212-3900
Other practice location 1
1799 E Bert Kouns Loop
Shreveport, LA 71105-5561
Phone (318) 797-9000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1461075 | Medicaid | LA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.mettles.com/ | Other |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15185R | LA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WK Pierremont Pediatrics | Pediatrics | Past | Accepting new patients |
| WK Childrens Health Specialists | Past | Accepting new patients | |
| Willis Knighton Medical Center, Inc. | Past | Accepting new patients |
Interoperability endpoints
- mcrittel@direct.wkhs.com
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1568461572
-
- Pediatric Nephrology Physician
- Shreveport, LA
- NPI 1689221020
-
- Pediatrics Physician
- Shreveport, LA
- NPI 1376745794
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624406400000",
"number": "1235175696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1811 E BERT KOUNS INDUSTRIAL LOOP STE 140",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711055741",
"telephone_number": "318-212-3900",
"fax_number": "318-212-3945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1811 E BERT KOUNS INDUSTRIAL LOOP STE 140",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711055741",
"telephone_number": "318-212-3900",
"fax_number": "318-212-3945"
}
],
"practiceLocations": [
{
"address_1": "1799 E Bert Kouns Loop",
"address_purpose": "LOCATION",
"city": "Shreveport",
"state": "LA",
"postal_code": "711055561",
"country_code": "US",
"telephone_number": "318-797-9000",
"fax_number": "318-797-9275",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRITTELL",
"first_name": "MARGARET",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-22",
"last_updated": "2021-06-23",
"certification_date": "2021-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "LA",
"license": "15185R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1461075",
"state": "LA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.mettles.com/",
"affiliation": "N",
"endpointDescription": "2.16.840.1.113883.3.6037.1",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "10320 Little Patuxent Pkwy Ste 233-02",
"city": "Columbia",
"state": "MD",
"country_code": "US",
"postal_code": "210443313",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jun 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.