Organization Active NPI

Nelson & Nelson Apmc

  • General Acute Care Hospital
  • Shreveport, LA
National Provider Identifier
1396073409
Registry record updated Apr 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
36759 Issued in LA
Legal business name
NELSON & NELSON APMC
Practice address
9512 Balsa Dr
Shreveport, LA 71115-3127
Phone
(318) 518-6091
NPI assigned
Dec 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2010

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

Authorized official

Name
Dr. Jason Nelson, MDNPI 1700097235
Title
Dr. Nelson
Phone
(318) 834-6525

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 36759 LA Primary

Addresses

Primary practice location

9512 Balsa Dr
Shreveport, LA 71115-3127

Mailing address

PO Box 19284
Shreveport, LA 71149-0284
Phone (318) 518-6091

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100428000356 LA Part B Supplier - Clinic/Group Practice 8426185133 Receives reassigned benefits from 1 practitioner
Practice locations: Shreveport, LA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1259625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272412800000",
    "number": "1396073409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19284",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711490284",
            "telephone_number": "318-518-6091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9512 BALSA DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711153127",
            "telephone_number": "318-518-6091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELSON & NELSON APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-01",
        "last_updated": "2010-04-28",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "DR. NELSON",
        "authorized_official_telephone_number": "318-834-6525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "LA",
            "license": "36759",
            "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 Apr 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.