Organization Active NPI

Menopause & Hormone Specialty Center, LLC

  • Women's Health Nurse Practitioner
  • Shreveport, LA
National Provider Identifier
1316230394
Registry record updated Jan 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
AP03544 Issued in LA
Legal business name
MENOPAUSE & HORMONE SPECIALTY CENTER, LLC
Practice address
7591 Fern Ave
Suite #1501
Shreveport, LA 71105-5750
Phone
(318) 524-8032
Fax
(318) 524-8033
NPI assigned
May 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2013

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

Authorized official

Name
Tammi K Herkey, WHNPNPI 1942245600
Title
Owner
Phone
(318) 288-1327

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LW0102X AP03544 LA Primary

Addresses

Primary practice location

7591 Fern Ave
Suite #1501
Shreveport, LA 71105-5750

Mailing address

7591 Fern Ave
Suite #1501
Shreveport, LA 71105-5750
Phone (318) 524-8032

Other identifiers 1

IdentifierTypeStateIssuer
1567183MedicaidLA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2027275Menopause and Hormone Specialty Center, LLC7591 Fern Avenue, Suite 1501, Shreveport, LA 71105Certificate of waiverJul 20, 2027

National Provider Directory

National Provider Directory

Locations

7591 Fern Ave
Ste 1501
Shreveport, LA 71105
Phone (318) 524-8032

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357171200000",
    "number": "1316230394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7591 FERN AVE",
            "address_2": "SUITE #1501",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055750",
            "telephone_number": "318-524-8032",
            "fax_number": "318-524-8033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7591 FERN AVE",
            "address_2": "SUITE #1501",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055750",
            "telephone_number": "318-524-8032",
            "fax_number": "318-524-8033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENOPAUSE & HORMONE SPECIALTY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-24",
        "last_updated": "2013-01-03",
        "status": "A",
        "authorized_official_last_name": "HERKEY",
        "authorized_official_first_name": "TAMMI",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-288-1327",
        "authorized_official_credential": "WHNP"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "LA",
            "license": "AP03544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1567183",
            "state": "LA"
        }
    ],
    "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 Jan 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.