Medical CP

Organization Active NPI Prosthetic/Orthotic Supplier · Shreveport, LA

NPI 1235940693 · NPPES record last updated Jan 15, 2025

Key facts

NPI
1235940693
Entity type
Organization (NPI type 2)
Primary specialty
Prosthetic/Orthotic Supplier 335E00000X
Legal business name
MEDICAL CP
Practice address
6138 Greenwood Rd Ste 500
Shreveport, LA 71119-8500
Phone
(318) 840-6381
NPI assigned
Jan 15, 2025
Organization subpart
No

Authorized official

Name
Zacqulynn Kinney
Title
Member/Owner
Phone
(318) 840-6381

National Provider Directory

Locations

6138 Greenwood Rd
Ste 500
Shreveport, LA 71119
Phone (318) 840-6381

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Yes

Addresses

Primary practice location

6138 Greenwood Rd Ste 500
Shreveport, LA 71119-8500

Mailing address

6138 Greenwood Rd Ste 500
Shreveport, LA 71119-8500
Phone (318) 840-6381

Other names

  • Zacqulynn Kinney Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 15, 2025.

{
    "created_epoch": "1736899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1235940693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6138 GREENWOOD RD STE 500",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711198500",
            "telephone_number": "318-840-6381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6138 GREENWOOD RD STE 500",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711198500",
            "telephone_number": "318-840-6381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "KINNEY",
        "authorized_official_first_name": "ZACQULYNN",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "318-840-6381"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zacqulynn Kinney",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Shreveport, LA

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Sources for this page

Verify at the official NPI Registry.