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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
NPI Registry JSON
{
"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"
}
]
}
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All providers in Shreveport, LA · Prosthetic/Orthotic Supplier in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.