Active NPI
Nelson & Nelson Apmc
- General Acute Care Hospital
- Shreveport, LA
National Provider Identifier
1396073409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 36759
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jason Nelson, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Bossier City, LA
- NPI 1700097235
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.