Individual provider Active NPI

Kendra Womack Halsell, APRN

  • Family Nurse Practitioner
  • Shreveport, LA
National Provider Identifier
1316686520
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
225873 Issued in LA
Practice address
1801 Fairfield Ave Ste 408
Shreveport, LA 71101-4468
Phone
(318) 239-7045
Fax
(318) 585-0026
NPI assigned
Jun 4, 2022
Last updated
Feb 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 225873 LA Primary

Addresses

Primary practice location

1801 Fairfield Ave Ste 408
Shreveport, LA 71101-4468

Mailing address

PO Box 1089
Hammond, LA 70404-1089
Phone (985) 892-7070

Other practice location 1

8001 Youree Dr Ste 880
Shreveport, LA 71115-2331
Phone (318) 798-3328

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
I20220629002896 LA Practitioner - Nurse Practitioner 0244610822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wound Care Associates LLCGroup PAC ID 0840314548, 117 clinicians

Practice addresses (Care Compare)

16065 Lamonte Dr
Hammond, LA 70403-1405
Phone (985) 892-7070

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
69.56 of 100Reported as group
Quality
43.22
Promoting interoperability
88
Improvement activities
40
Cost
31.99

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wound Care Associates LLC CurrentSince Feb 20, 2023 Accepting new patients

Locations

323 W Walnut Ave
Bastrop, LA 71220
Phone (318) 283-3600

2151 Airline Dr
Ste 600
Bossier City, LA 71111
Phone (318) 409-0119

20050 Crestwood Blvd
#O
Covington, LA 70433
Phone (985) 867-4008

16065 Lamonte Dr
Hammond, LA 70403
Phone (855) 432-5328

220 Highland Dr
Ste B
Many, LA 71449
Phone (318) 217-6506

102 S Monroe St
#B
Minden, LA 71055
Phone (318) 377-7290

1281 Lamy Ln
Ste 110
Monroe, LA 71201
Phone (318) 374-7370

2600 Tower Dr
Ste 406
Monroe, LA 71201
Phone (318) 361-9299

1801 Fairfield Ave
Ste 408
Shreveport, LA 71101
Phone (318) 675-1322

8001 Youree Dr
Ste 880
Shreveport, LA 71115
Phone (318) 212-3908

Organizations & group practices 1

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 2

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": "1654300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1316686520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1089",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704041089",
            "telephone_number": "985-892-7070",
            "fax_number": "800-878-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 FAIRFIELD AVE STE 408",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014468",
            "telephone_number": "318-239-7045",
            "fax_number": "318-585-0026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8001 Youree Dr Ste 880",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711152331",
            "country_code": "US",
            "telephone_number": "318-798-3328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALSELL",
        "first_name": "KENDRA",
        "middle_name": "WOMACK",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-04",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "225873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.