Individual provider Active NPI

Lacey Hauser Byram, P.A.

  • Physician Assistant
  • Shreveport, LA
National Provider Identifier
1639612013
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
303570 Issued in LA
Practice address
7925 Youree Dr Ste 200
Shreveport, LA 71105-5134
Phone
(318) 212-3610
Fax
(318) 212-3709
NPI assigned
Dec 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 303570 LA Primary

Addresses

Primary practice location

7925 Youree Dr Ste 200
Shreveport, LA 71105-5134

Mailing address

7925 Youree Dr Ste 200
Shreveport, LA 71105-5134
Phone (318) 212-3610

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161222001210 LA Practitioner - Physician Assistant 2062793458 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WK Orthopedic ClinicGroup PAC ID 9436174489, 21 clinicians

Practice addresses (Care Compare)

7925 Youree Dr
Suite 200
Shreveport, LA 71105-5134
Phone (318) 212-3610

Hospital & facility affiliations

  • Willis Knighton Medical Center Hospital, Shreveport, LA, CCN 190111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University Health Shreveport LLC Physician Assistant CurrentSince Dec 1, 2018 Accepting new patients
University Health Shreveport LLC CurrentSince Dec 1, 2018 Accepting new patients
Brfhh Shreveport LLC Past Accepting new patients

Locations

1501 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0434

1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287

911 Margaret Pl
Shreveport, LA 71101
Phone (318) 626-4200

1606 Kings Hwy
Shreveport, LA 71103
Phone (318) 675-6402

950 Olive St
Shreveport, LA 71104
Phone (318) 221-1581

Interoperability endpoints

  • Direct secure messaging: lbyram729119@direct.ochsner.org

Organizations & group practices 5

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 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": "1480636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1639612013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7925 YOUREE DR STE 200",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055134",
            "telephone_number": "318-212-3610",
            "fax_number": "318-212-3709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7925 YOUREE DR STE 200",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055134",
            "telephone_number": "318-212-3610",
            "fax_number": "318-212-3709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRAM",
        "first_name": "LACEY",
        "middle_name": "HAUSER",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-02",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "303570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.