Organization Active NPI

Caddo Parish Sheriff's Office

  • Prison Health Clinic/Center
  • Shreveport, LA
National Provider Identifier
1518702182
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prison Health Clinic/CenterTaxonomy code 261QP2400X
Legal business name
CADDO PARISH SHERIFF'S OFFICE
Practice address
1101 Forum Dr
Shreveport, LA 71107-6337
Phone
(318) 677-5254
Fax
(318) 677-5293
NPI assigned
Jun 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Authorized official

Name
Kelli Hayes, KELLI HAYES, RN
Title
Health Services Director
Phone
(318) 677-5270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prison Health Clinic/Center 261QP2400X Primary

Addresses

Primary practice location

1101 Forum Dr
Shreveport, LA 71107-6337

Mailing address

501 Texas St
Shreveport, LA 71101-5401
Phone (318) 677-5254

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2253666Caddo Parish Sheriff's Office1101 Forum Drive, Shreveport, LA 71107Certificate of waiverFeb 22, 2028

National Provider Directory

National Provider Directory

Locations

1101 Forum Dr
Shreveport, LA 71107
Phone (318) 677-5254

NPI Registry JSON

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

{
    "created_epoch": "1719360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719360000000",
    "number": "1518702182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 TEXAS ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711015401",
            "telephone_number": "318-677-5254",
            "fax_number": "318-677-5293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 FORUM DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711076337",
            "telephone_number": "318-677-5254",
            "fax_number": "318-677-5293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CADDO PARISH SHERIFF'S OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-26",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "KELLI",
        "authorized_official_title_or_position": "HEALTH SERVICES DIRECTOR",
        "authorized_official_telephone_number": "318-677-5270",
        "authorized_official_credential": "KELLI HAYES, RN"
    },
    "taxonomies": [
        {
            "code": "261QP2400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Prison Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.