Individual provider Active NPI

Donesa Walker, BCCS

  • Specialist
  • Shreveport, LA
National Provider Identifier
1346879335
Registry record updated Apr 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
BCCS206959
Practice address
8856 Youree Dr Ste D
Shreveport, LA 71115-2514
Phone
(318) 797-8523
Fax
(318) 797-8525
NPI assigned
Apr 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X BCCS206959 Primary

Addresses

Primary practice location

8856 Youree Dr Ste D
Shreveport, LA 71115-2514

Mailing address

8856 Youree Dr Ste D
Shreveport, LA 71115-2514
Phone (318) 797-8523

Other identifiers 1

IdentifierTypeStateIssuer
BCCS206959OtherLAIBCCES

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Shreveport.la@learningrx.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Brain Train Dba Learningrx Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: shreveport.la@learningrx.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1346879335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8856 YOUREE DR STE D",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711152514",
            "telephone_number": "318-797-8523",
            "fax_number": "318-797-8525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8856 YOUREE DR STE D",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711152514",
            "telephone_number": "318-797-8523",
            "fax_number": "318-797-8525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "DONESA",
        "credential": "BCCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-02",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": "BCCS206959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBCCES",
            "identifier": "BCCS206959",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Shreveport.la@learningrx.net",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8856 Youree Dr Ste D",
            "city": "Shreveport",
            "state": "LA",
            "country_code": "US",
            "postal_code": "711152514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Apr 2, 2020; 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.