Organization Active NPI

City of Shreveport

  • Ambulance
  • Shreveport, LA
National Provider Identifier
1396861415
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
16332 Issued in LA
Legal business name
CITY OF SHREVEPORT
Practice address
505 Travis St
Shreveport, LA 71101-3042
Phone
(318) 747-9977
Fax
(318) 747-9994
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Authorized official

Name
Ms. Carol Burns Young
Title
Billing Manager
Phone
(318) 747-9977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 16332 LA Primary

Addresses

Primary practice location

505 Travis St
Shreveport, LA 71101-3042

Mailing address

PO Box 34500
Shreveport, LA 71130-4500
Phone (318) 747-9977

Other identifiers 3

IdentifierTypeStateIssuer
1392278MedicaidLA
590005183OtherLARAILROAD MEDICARE
27751OtherLABLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100831000090 LA Part B Supplier - Ambulance Service Supplier 1658495494 Practice locations: Shreveport, LA

National Provider Directory

National Provider Directory

Locations

505 Travis St
Shreveport, LA 71101
Phone (318) 226-3023

505 Travis St
Ste 600
Shreveport, LA 71101

505 Travis St
Ste 120
Shreveport, LA 71101

918 Sixth St
Westwego, LA 70094
Phone (504) 341-2525

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787529600000",
    "number": "1396861415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34500",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711304500",
            "telephone_number": "318-747-9977",
            "fax_number": "318-747-9994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 TRAVIS ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711013042",
            "telephone_number": "318-747-9977",
            "fax_number": "318-747-9994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF SHREVEPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A",
        "authorized_official_last_name": "BURNS YOUNG",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "318-747-9977",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "LA",
            "license": "16332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1392278",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590005183",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "27751",
            "state": "LA"
        }
    ],
    "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 Aug 24, 2026; 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.