Individual provider Active NPI

Andrea Meredith Walters, MSN, APRN FNP-C

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Shreveport, LA
National Provider Identifier
1477201945
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
224070 Issued in LA
Practice address
425 Ashley Ridge Blvd Ste 330C
Shreveport, LA 71106-7226
Phone
(318) 399-7520
Fax
(318) 399-7521
NPI assigned
Mar 14, 2022
Last updated
Mar 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 224070 LA Primary

Addresses

Primary practice location

425 Ashley Ridge Blvd Ste 330C
Shreveport, LA 71106-7226

Mailing address

425 Ashley Ridge Blvd Ste 330C
Shreveport, LA 71106-7226
Phone (318) 399-7520

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
I20220420002101 LA Practitioner - Nurse Practitioner 7214324375 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LHCG Cciii, LLCGroup PAC ID 0244627396, 2 clinicians

Practice addresses (Care Compare)

6425 Youree Dr
Suite 560
Shreveport, LA 71105-4653
Phone (318) 399-7520

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Palliative Care at Heart, LLC Hospice and Palliative Medicine CurrentSince Oct 15, 2024 Accepting new patients
LHCG Cciii, LLC CurrentSince Apr 1, 2022 Accepting new patients
Palliative Care at Heart, LLC Hospice and Palliative Medicine CurrentSince Oct 15, 2024 Accepting new patients
LHCG Cix, LLC Hospice and Palliative Medicine PastSince Apr 24, 2022 Accepting new patients

Locations

5656 Nelson Rd
Ste C3
Lake Charles, LA 70605
Phone (337) 656-7967

425 Ashley Ridge Blvd
Ste 330C
Shreveport, LA 71106
Phone (318) 399-7520

6425 Youree Dr
Ste 560
Shreveport, LA 71105
Phone (318) 399-7520

1700 Belle Chasse Hwy
Ste B230
Terrytown, LA 70056
Phone (504) 321-7981

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1477201945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 ASHLEY RIDGE BLVD STE 330C",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711067226",
            "telephone_number": "318-399-7520",
            "fax_number": "318-399-7521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 ASHLEY RIDGE BLVD STE 330C",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711067226",
            "telephone_number": "318-399-7520",
            "fax_number": "318-399-7521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "ANDREA",
        "middle_name": "MEREDITH",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-14",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "LA",
            "license": "224070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.