Emily Blythe Phifer Menefee, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.200556 Issued in LA

Practice address

1602 Kings Hwy Dept of Pediatric Endocrinology
Shreveport, LA 71103-4128

Phone

(318) 626-2269

Fax

(318) 675-6145

NPI assigned

Sep 10, 2012

Last updated

Jun 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Emily Blythe Phifer Former name

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: emenefee726047@direct.ochsner.org

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.

• Louisiana State University Health Sciences Center

  dba LSU Health Shreveport

  • Internal Medicine Physician
  • Shreveport, LA
  • NPI 1417992249
  Medicare reassignment NPD
• Lsu Health Sciences Center Shreveport Faculty Group Practice

  • Family Medicine Physician
  • Shreveport, LA
  • NPI 1013374222
  Medicare reassignment
• University Health Shreveport LLC

  dba Ochsner LSU Health Shreveport

  • Nurse Practitioner
  • Shreveport, LA
  • NPI 1619443611
  Medicare reassignment
• University Health Shreveport LLC

  dba Ochsner LSU Health Shreveport

  • Certified Registered Nurse Anesthetist
  • Shreveport, LA
  • NPI 1629544622
  NPD

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

{
    "created_epoch": "1347235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1255680930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 KINGS HWY DEPT OF",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034128",
            "telephone_number": "318-626-2269",
            "fax_number": "318-675-6145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 KINGS HWY DEPT OF PEDIATRIC ENDOCRINOLOGY",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034128",
            "telephone_number": "318-626-2269",
            "fax_number": "318-675-6145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHIFER MENEFEE",
        "first_name": "EMILY",
        "middle_name": "BLYTHE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-10",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "PA.200556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2314092",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emily.menefee@ochsnerlsuhs.org",
            "affiliation": "Y",
            "affiliationName": "Ochsner LSU Health Shreveport - St. Mary Medical Center, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1602 Kings Hwy Dept Of Pediatric Endocrinology",
            "city": "Shreveport",
            "state": "LA",
            "country_code": "US",
            "postal_code": "711034128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "PHIFER",
            "middle_name": "BLYTHE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michelle Ruth-Fraleigh Phelan, ACNP-BC
• Amanda R Phelps, PA-C
• Dorothy P Phelps
• Kimberly Phelps
• Latonya Phenix
• Keonnika Phifer-Carter
• Philadelphia Center
• Philip Kinnebrew, MD and Willis-Knighton Medical Center
• Jennifer Philipose
• David M Philips, M.D.

• Physician Assistant in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.