Active NPI
Laurie Crnkovic Simmons, NP
- Acute Care Nurse Practitioner
- Shreveport, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- AP07078
- Practice address
- 1453 E Bert Kouns Industrial Loop
Suite 221
Shreveport, LA 71105-6800 - Phone
- (318) 681-5240
- Fax
- (318) 681-5241
- NPI assigned
- Oct 4, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP07078 | LA | |
| Acute Care Nurse Practitioner | 363LA2100X | AP07078 | LA | Primary |
Addresses
Primary practice location
1453 E Bert Kouns Industrial Loop
Suite 221
Shreveport, LA 71105-6800
Mailing address
1541 Kings Hwy
Shreveport, LA 71103-4228
Other practice location 1
1541 Kings Hwy
Shreveport, LA 71103-4228
Phone (318) 626-0177
Other names 1
- Laurie Ann Crnkovic
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1541 Kings Hwy
Shreveport, LA 71103-4228
Phone (318) 675-5000
Hospital & facility affiliations
- Ochsner Lsu Health Shreveport
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WK Pierremont Cardiology | Current | Accepting new patients | |
| University Health Shreveport LLC | Nurse Practitioner | Current | Accepting new patients |
| Lsu Health Sciences Center Shreveport Faculty Group Practice | Current | Accepting new patients | |
| Brfhh Shreveport LLC | Past | Accepting new patients |
Locations
1606 Kings Hwy
Shreveport, LA 71103
Phone (318) 675-6402
1811 E Bert Kouns Industrial Loop
Ste 210
Shreveport, LA 71105
Phone (318) 212-3858
1512 W Kirby Pl
Shreveport, LA 71103
Phone (318) 626-0177
1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287
1 Saint Mary Pl
Shreveport, LA 71101
Phone (318) 681-4500
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Shreveport, LA
- NPI 1013374222
-
- Nurse Practitioner
- Shreveport, LA
- NPI 1619443611
-
- Cardiovascular Disease Physician
- Shreveport, LA
- NPI 1235523002
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1912909912
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1427536325
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718928000000",
"number": "1508118258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1541 KINGS HWY",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711034228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1453 E BERT KOUNS INDUSTRIAL LOOP",
"address_2": "SUITE 221",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711056800",
"telephone_number": "318-681-5240",
"fax_number": "318-681-5241"
}
],
"practiceLocations": [
{
"address_1": "1541 Kings Hwy",
"address_purpose": "LOCATION",
"city": "Shreveport",
"state": "LA",
"postal_code": "711034228",
"country_code": "US",
"telephone_number": "318-626-0177",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIMMONS",
"first_name": "LAURIE",
"middle_name": "CRNKOVIC",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-04",
"last_updated": "2024-06-21",
"certification_date": "2024-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "LA",
"license": "AP07078",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "LA",
"license": "AP07078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAURIE",
"last_name": "CRNKOVIC",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}
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 Jun 21, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.