Active NPI
Kavori Rishe Willis, BS- PSYCHOLOGY
- Case Manager/Care Coordinator
- Shreveport, LA
National Provider Identifier
1518879675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 3776 Youree Dr
Shreveport, LA 71105-2132 - Phone
- (318) 670-3159
- NPI assigned
- Sep 22, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | LA | Primary |
Addresses
Primary practice location
3776 Youree Dr
Shreveport, LA 71105-2132
Mailing address
3776 Youree Dr
Shreveport, LA 71105-2132
Phone (318) 670-3159
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790035200000",
"number": "1518879675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3776 YOUREE DR",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711052132",
"telephone_number": "318-670-3159",
"fax_number": "318-754-4766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3776 YOUREE DR",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711052132",
"telephone_number": "318-670-3159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIS",
"first_name": "KAVORI",
"middle_name": "RISHE",
"credential": "BS- PSYCHOLOGY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-22",
"last_updated": "2026-09-22",
"certification_date": "2026-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "LA",
"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 Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.