Beth Nicole Jayroe, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

2508 Bert Kouns Industrial Loop Ste 310
Shreveport, LA 71118-3154

Phone

(318) 212-5880

Fax

(318) 212-5885

NPI assigned

Oct 18, 2022

Last updated

Jun 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: bjayroe1@direct.wkhs.com

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.

• WK Pediatric Surgical Associates

  • Pediatric Surgery Physician
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  • NPI 1316386436
  Medicare reassignment
• WK Regional Transplant Center

  • Transplant Surgery Physician
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  • NPI 1093059073
  NPD (past)

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

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1447976758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2508 BERT KOUNS INDUSTRIAL LOOP STE 310",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183154",
            "telephone_number": "318-212-5880",
            "fax_number": "318-212-5885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 BERT KOUNS INDUSTRIAL LOOP STE 310",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183154",
            "telephone_number": "318-212-5880",
            "fax_number": "318-212-5885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAYROE",
        "first_name": "BETH",
        "middle_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-18",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sri Lakshmi Javvadi
• Sefi Ahmed Jawadi
• Jasdip Jawanda
• Chatura Davanmini Jayasinghepatirane, MD
• Thomas Edward Jaynes, CRNA
• JC Express Transportation
• JCT Medical Consulting (JCT Medical/Russell W. Tynes MD)
• Carlo Jean Baptiste
• Jeanne Street, PHD, Appc
• Elizabeth Jee

• Physician Assistant in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.