Individual provider Active NPI

Sacha Patel, FNP-C

  • Family Nurse Practitioner
  • Shreveport, LA
National Provider Identifier
1265114136
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
215371 Issued in LA
Practice address
2508 Bert Kouns Industrial Loop Ste 101
Shreveport, LA 71118-3175
Phone
(318) 212-5811
Fax
(318) 212-5844
NPI assigned
Aug 1, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 215371 LA Primary

Addresses

Primary practice location

2508 Bert Kouns Industrial Loop Ste 101
Shreveport, LA 71118-3175

Mailing address

2508 Bert Kouns Industrial Loop Ste 101
Shreveport, LA 71118-3175
Phone (318) 212-5811

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
I20231130001738 LA Practitioner - Nurse Practitioner 9830547959 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
215371LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
WK Pediatric Gi Specialists CurrentSince Jan 12, 2025 Accepting new patients
WK Center for Pediatric Gastroenterology CurrentSince Oct 25, 2023 Accepting new patients

Locations

2530 Bert Kouns Industrial Loop
Ste 101
Shreveport, LA 71118
Phone (318) 212-5811

2530 Bert Kouns Industrial Loop
Shreveport, LA 71118
Phone (318) 212-5488

1202 Louisiana Ave
Shreveport, LA 71101
Phone (318) 212-8946

2508 Bert Kouns Industrial Loop
Ste 101
Shreveport, LA 71118
Phone (318) 212-5811

Interoperability endpoints

  • Direct secure messaging: spatel7@direct.wkhs.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1265114136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2508 BERT KOUNS INDUSTRIAL LOOP STE 101",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183175",
            "telephone_number": "318-212-5811",
            "fax_number": "318-212-5844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 BERT KOUNS INDUSTRIAL LOOP STE 101",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183175",
            "telephone_number": "318-212-5811",
            "fax_number": "318-212-5844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SACHA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-01",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "215371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.