Individual provider Active NPI

Tremeka Henderson, FNP

  • Family Nurse Practitioner
  • Shreveport, LA
National Provider Identifier
1497634190
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F06251784 Issued in LA
Practice address
9365 Mansfield Rd
Shreveport, LA 71118-3126
Phone
(318) 656-4621
NPI assigned
Aug 28, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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 F06251784 LA Primary

Addresses

Primary practice location

9365 Mansfield Rd
Shreveport, LA 71118-3126

Mailing address

9365 Mansfield Rd
Shreveport, LA 71118-3126
Phone (318) 656-4621

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
I20251031000697 LA Practitioner - Nurse Practitioner 2264921972 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Calcasieu Urgent Care LLCGroup PAC ID 5496908071, 132 clinicians

Practice addresses (Care Compare)

387 W Railroad Ave
Independence, LA 70443-2292
Phone (985) 606-4080

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F06251784LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Upperline Healthcare, PC CurrentSince Sep 22, 2025 Accepting new patients
Calcasieu Urgent Care, LLC CurrentSince Nov 1, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 22, 2025 Accepting new patients
Aria Podiatry Care PLLC CurrentSince Oct 20, 2025 Accepting new patients
Calcasieu Urgent Care LLC CurrentSince Nov 1, 2025 Accepting new patients
Aria Dental Care PC Past Accepting new patients

Locations

830 S Broadway St
Church Point, LA 70525
Phone (337) 684-6313

1910 Main St
Franklin, LA 70538
Phone (337) 907-3254

387 W Railroad Ave
Independence, LA 70443
Phone (931) 256-1110

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

9365 Mansfield Rd
Shreveport, LA 71118
Phone (318) 656-4621

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

Organizations & group practices 6

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": "1756339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1497634190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9365 MANSFIELD RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183126",
            "telephone_number": "318-656-4621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9365 MANSFIELD RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183126",
            "telephone_number": "318-656-4621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "TREMEKA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-28",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "F06251784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.