Active NPI
Nephrology Consultants LLC
- Nephrology Physician
- Shreveport, LA
National Provider Identifier
1265541312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- MD.015694
- Legal business name
- NEPHROLOGY CONSULTANTS LLC
- Practice address
- 745 Olive St
Suite 200
Shreveport, LA 71104-2246 - Phone
- (318) 226-0809
- Fax
- (318) 226-0812
- NPI assigned
- Aug 30, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John Stephen Kilpatrick, MD
- Title
- Director
- Phone
- (318) 226-0809
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | MD.015694 | LA | Primary |
Addresses
Primary practice location
745 Olive St
Suite 200
Shreveport, LA 71104-2246
Mailing address
745 Olive St
Suite 200
Shreveport, LA 71104-2246
Phone (318) 226-0809
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1949442 | Medicaid | LA | |
| 19D0968584 | Other | CLIA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Shreveport, LA
- NPI 1225225782
-
- Internal Medicine Physician
- Bossier City, LA
- NPI 1841235488
-
- Physician Assistant
- Shreveport, LA
- NPI 1295216125
-
- Nephrology Physician
- Shreveport, LA
- NPI 1447242680
-
- Family Nurse Practitioner
- Shreveport, LA
- NPI 1861682205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1325116800000",
"number": "1265541312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "745 OLIVE ST",
"address_2": "SUITE 200",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711042246",
"telephone_number": "318-226-0809",
"fax_number": "318-226-0812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "745 OLIVE ST",
"address_2": "SUITE 200",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711042246",
"telephone_number": "318-226-0809",
"fax_number": "318-226-0812"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEPHROLOGY CONSULTANTS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-30",
"last_updated": "2011-12-29",
"status": "A",
"authorized_official_last_name": "KILPATRICK",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "STEPHEN",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "318-226-0809",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": "LA",
"license": "MD.015694",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1949442",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "19D0968584",
"state": null
}
],
"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 Dec 29, 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.