Individual provider Active NPI

Jacque T Labarre, M.D.

  • Obstetrics & Gynecology Physician
  • Shreveport, LA
National Provider Identifier
1639154693
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD.017154 Issued in LA
Practice address
8001 Youree Dr
Suite 900
Shreveport, LA 71115-2302
Phone
(318) 797-0101
Fax
(318) 797-0010
NPI assigned
Dec 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD.017154 LA Primary

Addresses

Primary practice location

8001 Youree Dr
Suite 900
Shreveport, LA 71115-2302

Mailing address

2659 Alvamar Dr
Shreveport, LA 71106-8260
Phone (318) 798-3265

Other identifiers 1

IdentifierTypeStateIssuer
1376434MedicaidLA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100608000783 LA Practitioner - Obstetrics/Gynecology 8729081351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Louisiana State University School of Medicine in Shreveport, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WK Doctors for WomenGroup PAC ID 5092184879, 4 clinicians

Practice addresses (Care Compare)

8001 Youree Dr
Suite 900
Shreveport, LA 71115-2337
Phone (318) 797-0101

Hospital & facility affiliations

  • Willis Knighton Medical Center Hospital, Shreveport, LA, CCN 190111
  • Christus Shreveport-Bossier Health System Hospital, Shreveport, LA, CCN 190041

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.017154LAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
WK Doctors for Women Obstetrics & Gynecology CurrentSince Dec 1, 2022 Accepting new patients
Willis Knighton Medical Center, Inc. Past Accepting new patients

Locations

8001 Youree Dr
Ste 900
Shreveport, LA 71115
Phone (318) 212-3830

8001 Youree Dr
Ste 320
Shreveport, LA 71115
Phone (318) 212-2870

8001 Youree Dr
Ste 300
Shreveport, LA 71115
Phone (318) 212-3800

Interoperability endpoints

  • Direct secure messaging: jlabarre@direct.wkhs.com

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639154693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2659 ALVAMAR DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711068260",
            "telephone_number": "318-798-3265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 YOUREE DR",
            "address_2": "SUITE 900",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711152302",
            "telephone_number": "318-797-0101",
            "fax_number": "318-797-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABARRE",
        "first_name": "JACQUE",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "MD.017154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376434",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.