Tate & Barnes Walk in Clinic, LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

TATE & BARNES WALK IN CLINIC, LLC

Doing business as

Tate & Barnes Walk In Clinic

Practice address

6823 Pines Rd
Suite a
Shreveport, LA 71129-5205

Phone

(318) 603-0440

NPI assigned

Jan 20, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Jamesetta Ward Tate, M.D.NPI 1306041454

Title

Owner

Phone

(318) 603-0440

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tate & Barnes Walk In Clinic Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jamesetta Ward Tate, M.D.

  • Family Medicine Physician
  • Shreveport, LA
  • NPI 1306041454
  NPD (past) Authorized official

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263945600000",
    "number": "1306177076",
    "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": "SUITE A",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711295205",
            "telephone_number": "318-603-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TATE & BARNES WALK IN CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-20",
        "last_updated": "2010-01-20",
        "status": "A",
        "authorized_official_last_name": "TATE",
        "authorized_official_first_name": "JAMESETTA",
        "authorized_official_middle_name": "WARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-603-0440",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1072362",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tate & Barnes Walk In Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wajeeha Tariq
• Stacie Lerissa Tarpley, CIT
• Stephanie Dyan Tarver, LDN,RD
• Kerry Dee Tarvin, D.C.
• Crystal Tasby
• Clifton Tate, RD
• Jamesetta Ward Tate, M.D.
• Timothy Nathaniel Tate, D.D.S
• Christopher Tatman
• Anna Tatum

• Urgent Care Clinic/Center in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Urgent Care Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.