Active NPI
Dana Carol Clawson, NP
- Women's Health Nurse Practitioner
- Shreveport, LA
National Provider Identifier
1407806995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- RN065183 AP03668
- Practice address
- 8001 Youree Dr
Suite 600
Shreveport, LA 71115-2302 - Phone
- (318) 212-3890
- Fax
- (318) 212-3888
- NPI assigned
- May 12, 2006
- Last updated
- Jun 22, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | RN065183 AP03668 | LA | Primary |
Addresses
Primary practice location
8001 Youree Dr
Suite 600
Shreveport, LA 71115-2302
Mailing address
8001 Youree Dr
Suite 600
Shreveport, LA 71115-2302
Phone (318) 212-3890
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1435104 | Medicaid | LA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.mettles.com/ | Other |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN065183 AP03668 | LA | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dana George NP and Willis-Knighton Medical Center | Women's Health | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Women's Health Nurse Practitioner
- Shreveport, LA
- NPI 1982646329
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624320000000",
"number": "1407806995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8001 YOUREE DR",
"address_2": "SUITE 600",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711152302",
"telephone_number": "318-212-3890",
"fax_number": "318-212-3888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8001 YOUREE DR",
"address_2": "SUITE 600",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711152302",
"telephone_number": "318-212-3890",
"fax_number": "318-212-3888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAWSON",
"first_name": "DANA",
"middle_name": "CAROL",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-12",
"last_updated": "2021-06-22",
"certification_date": "2021-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "LA",
"license": "RN065183 AP03668",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1435104",
"state": "LA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.mettles.com/",
"affiliation": "N",
"endpointDescription": "2.16.840.1.113883.3.6037.1",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "10320 Little Patuxent Pkwy Ste 233-02",
"city": "Columbia",
"state": "MD",
"country_code": "US",
"postal_code": "210443313",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Shreveport, LA
- Stephen W. Clark, CRNA
- Stuart G. Clark V, MD
- Teresa Octavia Clark, QP
- Shemekia Clarkson
- Claude Lockhart MD and Willis-Knighton Medical Center
- Rebecca Eskew Clawson, PA
- Maisha Clay
- Clay's Dependable Transportation, LLC (Clay's Dependable Transportation)
- Debra Ann Claycomb, NURSE PRACTITIONER
- Destiny Clayton
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.