Active NPI
Katheryn Beavers Arterberry, FNP-BC
- Nurse Practitioner
- Shreveport, LA
National Provider Identifier
1255478640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN055366AP02685
- Practice address
- 7505 Pines Road
Suite 1250
Shreveport, LA 71129 - Phone
- (318) 686-3770
- Fax
- (318) 686-3838
- NPI assigned
- Feb 1, 2007
- Last updated
- Sep 8, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN055366AP02685 | LA | Primary |
| Family Nurse Practitioner | 363LF0000X | RN055366 AP02685 | LA |
Addresses
Primary practice location
7505 Pines Road
Suite 1250
Shreveport, LA 71129
Mailing address
7505 Pines Road
Suite 1250
Shreveport, LA 71129
Phone (318) 686-3770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1680958 | Medicaid | LA |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN055366AP02685 | LA | MD | Nurse Practitioner |
| RN055366 AP02685 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monroe Medical Management | Past | Accepting new patients | |
| McFarland Healthcare Clinic, LLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Shreveport, LA
- NPI 1285709196
-
dba Regional Rehab
- Rehabilitation Hospital Unit
- Shreveport, LA
- NPI 1003919168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315440000000",
"number": "1255478640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7505 PINES ROAD",
"address_2": "SUITE 1250",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "71129",
"telephone_number": "318-686-3770",
"fax_number": "318-686-3838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7505 PINES ROAD",
"address_2": "SUITE 1250",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "71129",
"telephone_number": "318-686-3770",
"fax_number": "318-686-3838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARTERBERRY",
"first_name": "KATHERYN",
"middle_name": "BEAVERS",
"name_prefix": "Dr.",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-01",
"last_updated": "2011-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "LA",
"license": "RN055366AP02685",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "RN055366 AP02685",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1680958",
"state": "LA"
}
],
"endpoints": [],
"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 Sep 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.