Jamesetta Ward Tate, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD.015091 Issued in LA

Practice address

6823 Pines Rd
A
Shreveport, LA 71129-5205

Phone

(318) 603-0440

NPI assigned

Jun 19, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Tate & Barnes Walk in Clinic, LLC

  • Urgent Care Clinic/Center
  • Shreveport, LA
  • NPI 1306177076
  NPD (past) Authorized official
• Medfirst Urgent Care Centre, LLC

  • Urgent Care Clinic/Center
  • New Orleans, LA
  • NPI 1801091954
  NPD (past)
• Nola Central City Clinic

  • Family Nurse Practitioner
  • New Orleans, LA
  • NPI 1851952410
  NPD (past)

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263427200000",
    "number": "1306041454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29591",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711499591",
            "telephone_number": "318-603-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6823 PINES RD",
            "address_2": "A",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711295205",
            "telephone_number": "318-603-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "JAMESETTA",
        "middle_name": "WARD",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-19",
        "last_updated": "2010-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD.015091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1072362",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Dyan Tarver, LDN,RD
• Kerry Dee Tarvin, D.C.
• Crystal Tasby
• Tate & Barnes Walk in Clinic, LLC
• Clifton Tate, RD
• Timothy Nathaniel Tate, D.D.S
• Christopher Tatman
• Anna Tatum
• Celeste Merrill Gauthier Tatum
• Muhammad Tausif

• Family Medicine Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.