S Killeen Deslauriers, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

C5186 Issued in AR

Practice address

11825 Hinson Rd
Suite 101
Little Rock, AR 72212-3404

Phone

(501) 221-1050

Fax

(501) 221-2967

NPI assigned

Jul 30, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: shirleykilleen.deslauriers.p1@direct.gpspecialtyclinic.nextgenshare.com

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.

• North Pulaski Womens Clinic

  • Gynecology Physician
  • Sherwood, AR
  • NPI 1932289998
  NPD (past)
• Texarkana Regional Healthcare Network

  • Specialist
  • Texarkana, TX
  • NPI 1083858831
  NPD (past)

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386659076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11825 HINSON RD",
            "address_2": "SUITE 101",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722123404",
            "telephone_number": "501-221-1050",
            "fax_number": "501-221-2967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11825 HINSON RD",
            "address_2": "SUITE 101",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722123404",
            "telephone_number": "501-221-1050",
            "fax_number": "501-221-2967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESLAURIERS",
        "first_name": "S",
        "middle_name": "KILLEEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AR",
            "license": "C5186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "51369",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rohan Desai, PA-C
• Shefali N Desai
• Shivang K Desai, MD
• Willy J Desir, DNP, CRNA
• Desired Path Therapy
• Staci Desmarais
• Destiney Therapy Center
• Nicolaas Ep Deutz, M.D., PH.D.
• Laura K Devall, CNP
• Devansh Lab Werks,Inc

• Specialist in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Specialist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.