Individual provider Active NPI

Sheena Renaye Youngblood, APRN, FNP-C

  • Family Nurse Practitioner
  • Shreveport, LA
National Provider Identifier
1437768447
Registry record updated Jul 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
214801 Issued in LA
Practice address
1453 E Bert Kouns Industrial Loop Ste 112
Shreveport, LA 71105-6810
Phone
(318) 798-9400
NPI assigned
Jul 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 214801 LA Primary

Addresses

Primary practice location

1453 E Bert Kouns Industrial Loop Ste 112
Shreveport, LA 71105-6810

Mailing address

1453 E Bert Kouns Industrial Loop Ste 112
Shreveport, LA 71105-6810
Phone (318) 798-9400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200824001376 LA Practitioner - Nurse Practitioner 0446677348 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Urgent Care, LLCGroup PAC ID 8729138896, 50 clinicians
Calcasieu Urgent Care LLCGroup PAC ID 5496908071, 132 clinicians
Hulin Urgent Care Services LLCGroup PAC ID 6800051285, 135 clinicians

Practice addresses (Care Compare)

1009 S Service Rd W
Ruston, LA 71270-2915
Phone (318) 242-1440

1121 Polk St
Mansfield, LA 71052-2524
Phone (318) 575-2143

4015 Sterlington Rd
Monroe, LA 71203-2535
Phone (318) 543-0106

Merit-based Incentive Payment System (MIPS)

Final score
83.08 of 100Reported as group
Quality
73.94
Promoting interoperability
97
Improvement activities
40
Cost
72.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Calcasieu Urgent Care LLC CurrentSince Mar 29, 2024 Accepting new patients
Ark-la-Tex Cardiology, Apmc CurrentSince Aug 2, 2020 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Calcasieu Urgent Care, LLC CurrentSince Mar 29, 2024 Accepting new patients

Locations

2640 Country Club Rd
Ste 400
Lake Charles, LA 70605
Phone (337) 426-0919

1121 Polk St
Mansfield, LA 71052
Phone (318) 575-2143

1453 E Bert Kouns Industrial Loop
Ste 112
Shreveport, LA 71105
Phone (318) 798-9400

132 Well Rd
West Monroe, LA 71291
Phone (318) 217-6521

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1595721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595721600000",
    "number": "1437768447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1453 E BERT KOUNS INDUSTRIAL LOOP STE 112",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711056810",
            "telephone_number": "318-798-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1453 E BERT KOUNS INDUSTRIAL LOOP STE 112",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711056810",
            "telephone_number": "318-798-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNGBLOOD",
        "first_name": "SHEENA",
        "middle_name": "RENAYE",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-26",
        "last_updated": "2020-07-26",
        "certification_date": "2020-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "214801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.