Active NPI
Jennifer O'Neal, MD
- Family Medicine Physician
- Shreveport, LA
National Provider Identifier
1275929929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD304481
- Practice address
- 818 Montrose Dr Ste B
Shreveport, LA 71106-2012 - Phone
- (337) 302-5453
- NPI assigned
- Apr 9, 2015
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 304481 | LA | |
| Family Medicine Physician | 207Q00000X | MD304481 | LA | Primary |
Addresses
Primary practice location
818 Montrose Dr Ste B
Shreveport, LA 71106-2012
Mailing address
8702 Glen Haven Dr
Shreveport, LA 71106-6222
Phone (337) 302-5453
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | JONEAL@onealdirecthealth.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Previously, effective Sep 1, 2024 through Sep 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 304481 | LA | MD | Family Medicine Physician |
| MD304481 | LA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oneal Direct Health | Current | Accepting new patients | |
| Bossier Family Medicine, LLC | Current | Accepting new patients |
Locations
2539 Viking Dr
Ste 101
Bossier City, LA 71111
Phone (318) 747-8100
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.
-
- Clinic/Center
- Shreveport, LA
- NPI 1720974470
-
dba First Care Bossier
- Urgent Care Clinic/Center
- Bossier City, LA
- NPI 1629577895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723766400000",
"number": "1275929929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8702 GLEN HAVEN DR",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711066222",
"telephone_number": "337-302-5453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "818 MONTROSE DR STE B",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711062012",
"telephone_number": "337-302-5453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'NEAL",
"first_name": "JENNIFER",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-09",
"last_updated": "2024-08-16",
"certification_date": "2024-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "LA",
"license": "304481",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "LA",
"license": "MD304481",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "JONEAL@onealdirecthealth.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "other",
"address_1": "818 Montrose Dr Ste B",
"city": "Shreveport",
"state": "LA",
"country_code": "US",
"postal_code": "711062012",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Aug 16, 2024; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.