Individual provider Active NPI

Kimberly Armstrong

  • Nurse Practitioner
  • Shreveport, LA
National Provider Identifier
1508473893
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
216212 Issued in LA
Practice address
8001 Youree Dr Ste 400
Shreveport, LA 71115-2340
Phone
(318) 212-3456
Fax
(318) 212-3885
NPI assigned
Sep 30, 2020
Last updated
Sep 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 216212 LA Primary
Nurse Practitioner 363L00000X 1015381 TX
Gerontology Nurse Practitioner 363LG0600X 1015381 TX

Addresses

Primary practice location

8001 Youree Dr Ste 400
Shreveport, LA 71115-2340

Mailing address

8001 Youree Dr Ste 400
Shreveport, LA 71115-2340
Phone (318) 212-3456

Other practice location 1

707 Hollybrook Dr
Longview, TX 75605-2410
Phone (903) 757-6042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, LA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210915001198 TX Practitioner - Nurse Practitioner 9830595990 Reassigns benefits to 2 organizations
I20250923004181 LA Practitioner - Nurse Practitioner 9830595990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WK Moller Cassiere ClinicGroup PAC ID 3678587664, 10 clinicians

Practice addresses (Care Compare)

8001 Youree Dr
Suite 400
Shreveport, LA 71115-2340
Phone (318) 212-3456

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
216212LAMDNurse Practitioner
1015381TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
WK Moller Cassiere Clinic CurrentSince Sep 8, 2025 Accepting new patients
Associated Clinicians of East Texas CurrentSince Aug 8, 2023 Accepting new patients
Wound Management Specialists, LLC Nurse Practitioner CurrentSince Sep 1, 2021 Accepting new patients

Locations

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

8001 Youree Dr
Ste 400
Shreveport, LA 71115
Phone (318) 212-3456

778 Liberty Rd
Flowood, MS 39232
Phone (601) 914-9620

222 N Fredonia St
Ste 220
Longview, TX 75601
Phone (903) 215-3149

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

707 Hollybrook Dr
Longview, TX 75605
Phone (903) 232-8501

707 Hollybrook Dr
Ste 500
Longview, TX 75605
Phone (903) 232-8276

Organizations & group practices 3

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": "1601424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1508473893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 YOUREE DR STE 400",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711152340",
            "telephone_number": "318-212-3456",
            "fax_number": "318-212-3885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 YOUREE DR STE 400",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711152340",
            "telephone_number": "318-212-3456",
            "fax_number": "318-212-3885"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "707 Hollybrook Dr",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756052410",
            "country_code": "US",
            "telephone_number": "903-757-6042",
            "fax_number": "903-291-6034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARMSTRONG",
        "first_name": "KIMBERLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-30",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "216212",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1015381",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1015381",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.