Active NPI
Kelly E Rachal, DVM, DVM
- Specialist
- Shreveport, LA
National Provider Identifier
1447749304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 2755
- Practice address
- 4445 Youree Dr
Shreveport, LA 71105-3618 - Phone
- (318) 865-5595
- Fax
- (318) 868-3289
- NPI assigned
- May 7, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 2755 | LA | Primary |
Addresses
Primary practice location
4445 Youree Dr
Shreveport, LA 71105-3618
Mailing address
1605 Mounce Rd
Grand Cane, LA 71032-5715
Phone (504) 402-7779
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2755 | LA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525651200000",
"number": "1447749304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1605 MOUNCE RD",
"city": "GRAND CANE",
"state": "LA",
"postal_code": "710325715",
"telephone_number": "504-402-7779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4445 YOUREE DR",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711053618",
"telephone_number": "318-865-5595",
"fax_number": "318-868-3289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RACHAL, DVM",
"first_name": "KELLY",
"middle_name": "E",
"credential": "DVM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-07",
"last_updated": "2018-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "LA",
"license": "2755",
"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 May 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.