Active NPI
Kendra Womack Halsell, APRN
- Family Nurse Practitioner
- Shreveport, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 225873
- 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, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wound Care Associates LLC | Current | 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.
-
dba Christus Shreveport-Bossier Health System
- General Acute Care Hospital
- Shreveport, LA
- NPI 1417950106
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.