Individual provider Active NPI

Summer Cone Hanson

  • Nurse Practitioner
  • Shreveport, LA
National Provider Identifier
1487311023
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
227156 Issued in LA
Practice address
2508 Bert Kouns Industrial Loop Ste 311
Shreveport, LA 71118-3133
Phone
(318) 212-5764
NPI assigned
Nov 18, 2021
Last updated
Dec 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 227156 LA Primary
Registered Nurse 163W00000X RN143398 LA

Addresses

Primary practice location

2508 Bert Kouns Industrial Loop Ste 311
Shreveport, LA 71118-3133

Mailing address

900 Aw Dr
Stonewall, LA 71078-9668
Phone (318) 218-6470

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
I20221104000276 LA Practitioner - Nurse Practitioner 9234506254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WK Shreveport Internal MedicineGroup PAC ID 8527429448, 6 clinicians

Practice addresses (Care Compare)

1811 E Bert Koun Loop
Suite 120
Shreveport, LA 71105-5741
Phone (318) 212-3738

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN143398LAMDRegistered Nurse
227156LAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
WK Shreveport Internal Medicine CurrentSince Jan 7, 2024 Accepting new patients
Bryn-Fincher Pulmonary & Critical Care PastSince Sep 27, 2022 Accepting new patients

Locations

1202 Louisiana Ave
Shreveport, LA 71101
Phone (318) 212-8946

1811 E Bert Kouns Industrial Loop
Ste 120
Shreveport, LA 71105
Phone (318) 212-2720

Interoperability endpoints

  • Direct secure messaging: shanson3@direct.wkhs.com

Organizations & group practices 2

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 4

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": "1637193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1487311023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 AW DR",
            "city": "STONEWALL",
            "state": "LA",
            "postal_code": "710789668",
            "telephone_number": "318-218-6470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 BERT KOUNS INDUSTRIAL LOOP STE 311",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183133",
            "telephone_number": "318-212-5764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "SUMMER",
        "middle_name": "CONE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-18",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "227156",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "RN143398",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.