Organization Active NPI

Care Partners of Shreveport-Bossier

Doing business as Care Partners of Shreveport-Bossier, LLC

  • Community Health Nurse Practitioner
  • Shreveport, LA
National Provider Identifier
1659094472
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Nurse PractitionerTaxonomy code 363LC1500X
Legal business name
CARE PARTNERS OF SHREVEPORT-BOSSIER
Doing business as
Care Partners of Shreveport-Bossier, LLC
Practice address
7505 Pines Rd Ste 1100
Shreveport, LA 71129-3900
Phone
(318) 401-7218
NPI assigned
Sep 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Authorized official

Name
Ms. Tiffany George, NP
Title
Owner
Phone
(318) 401-7218

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LC1500X Primary

Addresses

Primary practice location

7505 Pines Rd Ste 1100
Shreveport, LA 71129-3900

Mailing address

9972 Freedoms Way
Keithville, LA 71047-9222
Phone (318) 401-7218

Other identifiers 1

IdentifierTypeStateIssuer
2305034MedicaidLA

Other names 1

  • Care Partners of Shreveport-Bossier, LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tgeorge1@wkhs.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675123200000",
    "number": "1659094472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9972 FREEDOMS WAY",
            "city": "KEITHVILLE",
            "state": "LA",
            "postal_code": "710479222",
            "telephone_number": "318-401-7218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 PINES RD STE 1100",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711293900",
            "telephone_number": "318-401-7218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE PARTNERS OF SHREVEPORT-BOSSIER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-26",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-401-7218",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2305034",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tgeorge1@wkhs.com",
            "affiliation": "N",
            "endpointDescription": "tgeorge1@wkhs.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9972 Freedoms Way",
            "city": "Keithville",
            "state": "LA",
            "country_code": "US",
            "postal_code": "710479222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Care Partners of Shreveport-Bossier, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Care Partners of Shreveport-Bossier, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.