Individual provider Active NPI

Christopher Keith White, NP

  • Acute Care Nurse Practitioner
  • Shreveport, LA
National Provider Identifier
1295016848
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP06664 Issued in LA
Practice address
8001 Youree Dr Ste 540
Shreveport, LA 71115-2343
Phone
(318) 631-9121
Fax
(318) 631-9126
NPI assigned
Sep 8, 2011
Last updated
Sep 9, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP06664 LA Primary

Addresses

Primary practice location

8001 Youree Dr Ste 540
Shreveport, LA 71115-2343

Mailing address

3217 Mabel St
Shreveport, LA 71103-4022
Phone (318) 631-9121

Other identifiers 1

IdentifierTypeStateIssuer
AP06664OtherLAACUTE NURSE PRACTITIONER

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
I20111006000056 LA Practitioner - Nurse Practitioner 7214109768 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WK Bossier HospitalistsGroup PAC ID 4486729639, 23 clinicians

Practice addresses (Care Compare)

2400 Hospital Dr
Suite 130
Bossier City, LA 71111-2385

2400 Hospital Dr
Suite 130
Bossier City, LA 71111-2386
Phone (318) 212-7990

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
WK Bossier Hospitalists CurrentSince Sep 27, 2022 Accepting new patients
Gastrointestinal Specialists, a.M.C. CurrentSince Sep 8, 2020 Accepting new patients
Capitol City Family Health Center Incorporated Past Accepting new patients
Advanced Cardiovascular Specialists PastSince Jul 1, 2017 Accepting new patients

Locations

2400 Hospital Dr
Ste 130
Bossier City, LA 71111
Phone (318) 212-7990

2400 Hospital Dr
Ste 380
Bossier City, LA 71111
Phone (318) 747-7888

3217 Mabel St
Shreveport, LA 71103

8001 Youree Dr
Ste 540
Shreveport, LA 71115
Phone (318) 212-3787

8383 Millicent Way
Ste B
Shreveport, LA 71115
Phone (318) 681-4282

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1315440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1295016848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3217 MABEL ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034022",
            "telephone_number": "318-631-9121",
            "fax_number": "318-631-9126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 YOUREE DR STE 540",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711152343",
            "telephone_number": "318-631-9121",
            "fax_number": "318-631-9126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "CHRISTOPHER",
        "middle_name": "KEITH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-08",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "LA",
            "license": "AP06664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUTE NURSE PRACTITIONER",
            "identifier": "AP06664",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.