Individual provider Active NPI

Claire Hammond, PA

  • Medical Physician Assistant
  • Shreveport, LA
National Provider Identifier
1245661487
Registry record updated Jul 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA.200680 Issued in LA
Practice address
9300 Mansfield Rd
Suite 110
Shreveport, LA 71118-3155
Phone
(318) 629-3763
Fax
(318) 629-3767
NPI assigned
Dec 12, 2013
Last updated
Jul 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 200680 LA
Medical Physician Assistant 363AM0700X PA08661 TX
Medical Physician Assistant 363AM0700X PA.200680 LA Primary

Addresses

Primary practice location

9300 Mansfield Rd
Suite 110
Shreveport, LA 71118-3155

Mailing address

46 Louis Prima Dr
Ste a
Covington, LA 70433-5903
Phone (985) 892-7070

Other practice location 1

7045 Youree Dr
Shreveport, LA 71105-5108
Phone (318) 798-3763

Other names 1

  • Claire Marie Clark Former name

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
I20150327001256 LA Practitioner - Physician Assistant 5294052494 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wound Care Contractors LLCGroup PAC ID 5991139644, 5 clinicians

Practice addresses (Care Compare)

Benton, LA 71006
Phone (318) 272-6847

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
200680LAMDPediatric Gastroenterology Physician
PA08661TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince Apr 16, 2022 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Apr 16, 2022 Accepting new patients

Locations

2151 Airline Dr
Ste 700
Bossier City, LA 71111
Phone (318) 550-2176

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138

7045 Youree Dr
Shreveport, LA 71105
Phone (318) 681-6890

9300 Mansfield Rd
Ste 110
Shreveport, LA 71118
Phone (318) 629-3763

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1245661487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 LOUIS PRIMA DR",
            "address_2": "STE A",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704335903",
            "telephone_number": "985-892-7070",
            "fax_number": "985-892-7017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 MANSFIELD RD",
            "address_2": "SUITE 110",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183155",
            "telephone_number": "318-629-3763",
            "fax_number": "318-629-3767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7045 Youree Dr",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711055108",
            "country_code": "US",
            "telephone_number": "318-798-3763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMMOND",
        "first_name": "CLAIRE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-12",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "200680",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA08661",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "LA",
            "license": "PA.200680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLAIRE",
            "last_name": "CLARK",
            "middle_name": "MARIE",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.